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Board of Trustees Revised FY18 Spending Plan December 13, 2017 For UConn Storrs and Regionals & UConn Health
Transcript

Board of TrusteesRevised FY18 Spending Plan

December 13 2017

For UConn Storrs and Regionals amp UConn Health

Agenda

1 State Budget Impact for UConn

2 UConn Storrs and Regionals - Updated Spending Plan

3 UConn Health - Updated Spending Plan

December 13 2017 2

State Budget Cuts to UConnThe negotiated State budget represents a nearly $143M cut to UConn through the biennium Additionally $214M of cuts due to lapses have been received These are dramatic reductions and will impact faculty students staff and patients at UConn

Additional Lapses Salary (7922416)$ -4 Salary (4744276)$ -4Fringe (5466467)$ Fringe (3273688)$

(13388883)$ (8017964)$ (21406847)$

December 13 2017 3

FY18 Comparison from June Budget

AppropriationFY 2017

Governor Revised FY2018

BOT (51517)

Negotiated Budget FY18

102417

AppropriationFY 2017

Governor Revised FY2018

BOT (51517)

Negotiated Budget FY18

102417

Appropriation 229917913 211242025$ 199253349$ 134539312$ 125474563$ 122427151$ Fringe Reimbursement 158643360 145756997$ 139729547$ 101283032$ 94749284$ 94734894$ TOTAL STATE SUPPORT 388561273 356999022$ 338982896$ 235822344$ 220223847$ 217162045$

Appropriation Cut (18675888)$ (30664564)$ (9064749)$ (12112161)$ Associated fringe cut (12886363)$ (18913813)$ (6533748)$ (6548138)$ TOTAL STATE SUPPORT CUT (31562251)$ (49578377)$ (15598497)$ (18660299)$

-81 -128 -66 -79Variance from FY18 BOT approved budget (18016126)$ (3061802)$ (21077928)$

UCONN UCONN HEALTH

Compared to the BOT approved budget in June the negotiated State budget is an additional overall cut of $42M representing $31M for UConn and $11M for UCH

Additional Lapses Salary (7922416)$ (4744276)$

Fringe (5466467)$ (3273688)$

(13388883)$ (8017964)$ (21406847)$

TOTAL Variance from FY18 BOT approved budget (31405009)$ (11079766)$ (42484775)$

December 13 2017 4

Balancing the Budget in FY18In order to achieve a balanced budget for FY18 the University has

bull Implemented significant University-wide spending cuts bull Enforced a prudent and strategic freeze on hiring bull Increased undergraduate enrollmentbull Enrolled more studentsbull Identified new revenue streams

bull Bookstore self-supporting programs etcbull Enhanced payments for physician servicesbull 340B retail pharmacy

bull Increased tuition (per four year plan)bull Identified and implemented efficienciesbull Deferred delayed or cancelled capital projects and deferred

maintenanceAdditional mid-year cuts would have serious implications for the entire UConn community

December 13 2017 5

Revised FY18 Spending Plan UConn and UConn Health Combined FY18 Spending Plan

Spending plan above includes $13255M for UConn Storrs and Regionals and $10895M for UConn Health

Appropriation 3090 Personal Services 8859 Fringe Benefits amp Adjustments 2415 Fringe Benefits 4835 Total State Support 5506$ Correctional Managed Health Care 804 Tuition 4184 DrugsMedical Supplies 852 Fees 1409 MedicalDental House Staff 542 Grants amp Contracts 1674 ServicesRepairMaintenance 1930 Auxiliary Enterprise Revenue 2201 Other Expenses 2214 InternsResidents 667 Student Financial Aid 1727 Net Patient Revenue 4827 Debt ServiceProjects 623 Correctional Managed Health Care 804 Total Operating Fund 22386$ Other Revenue 1135

Research Fund 1764 Total Operating Fund 22405$

Total Operating Expenditures 24150$ Research Fund 1750

Net GainLoss 06$ Total Current Funds Revenues 24156$

Expenditures ($M)Revenues ($M)

December 13 2017 6

Impact of Cuts to UConn

bull UConn has carefully and effectively managed its finances to balance the budget and maintain academic quality in the face of major reductions in State support and rising costs over the last few years The cuts in the biennium are significant and will impact every aspect of UConn

bull UConnrsquos goals are shifting from continuing to focus on protecting academic excellence delivering strong student support providing excellent patient care and supporting the research mission of the University to simply attempting to maintain our current position

bull Ongoing and mid-year cuts thwart our ability to forecast and plan effectively Continual significant cuts reduce the quality of the education UConn is able to offer and reduces the Universityrsquos ability to effectively contribute to the State and its economy

December 13 2017 7

UConn Successes At Risk

UConn successesbull Top 25 Public National University (18th) in US News and World Reportbull Opened new Downtown Hartford campus locationbull Decreased average time to degree to 42 years (4th among Peers)bull Increased number of class offerings by 33 bull Fall 2017 entering class included 81 valedictorians and 80 salutatorians

UConn Health successesbull Climbed to 56th in research and 34th in primary care categories in US News and

World Report rankingsbull ldquoArdquo rating for patient safety The Leapfrog Group 2015 2016 amp 2017bull Dental School received Geis Award for Excellencebull Increased average monthly emergency room visits to over 3000bull Expansion of programs including neurosurgery epilepsy monitoring unit sickle cell

and health disparities

The University has made significant gains and improved academic quality over the last several years These are now at risk due to the current fiscal climate and continual cuts

December 13 2017 8

Long Term Financial Challenges

UConn has carefully and effectively managed the budget despite deep cuts to the budget over the last few years Looking forward the University is facing troubling financial challenges and asks the State for stable funding

Some long term financial concerns includebull SEBAC provides a 55 increase in FY20 and FY21 which is

equivalent to $59M and $66M respectivelybull Fringe growth is projected to grow at 15 annually or $166M in

additional expenses per yearbull SEBAC provides a ldquono layoffrdquo provision Approximately 56 of

UConnrsquos costs are personnelbull Tuition Plan ends in FY20bull Patient revenues are unpredictable due to payor mix volume and

reimbursement rates

December 13 2017 9

Revised Spending PlanStorrs and Regionals

FY18 Budget Cuts

AppropriationFY 2017

Negotiated Budget FY18

102417

Negotiated Budget FY19

102417

TOTAL BIENNIUM CUT

Appropriation 229917913 199253349$ 196119593$ Fringe Reimbursement 158643360 139729547$ 135322519$ TOTAL STATE SUPPORT 388561273 338982896$ 331442112$

APPROPRIATION CUT (30664564)$ (33798320)$ (64462884)$ Associated fringe cut at 69 (in dollars) (18913813)$ $ (23320841) $ (42234654)TOTAL STATE SUPPORT CUT (49578377)$ (57119161)$ (106697538)$

TOTAL CUT (106697538)$ Cut -14

UCONN

Additional Lapses Salary (7922416)$ -4Fringe (5466467)$

(13388883)$

Storrs and Regionals

For Storrs and Regional Campuses the State budget represents a $107M cut in the biennium from the FY17 appropriation Additionally we received a $13M cut due to lapses

December 13 2017 11

Lapses = the amount of appropriation held back that is retained by OPM to achieve savings assumed in the overall State budget

Revised FY18 Spending Plan

Note Use of decimals may result in rounding differences

With a hiring freeze cost cutting new revenue streams and expense avoidance UConn projects a balanced budget for FY18 despite State cuts

Appropriation 1913 Personal Services 4947 Fringe Benefits amp Adjustments 1358 Fringe Benefits 2513 Total State Support 3272$ Other Expenses 2105 Tuition 3984 Energy 229 Fees 1365 Equipment 205 Grants amp Contracts 825 Student Financial Aid 1727 FoundationEndowment 210 Debt ServiceProjects 449 Sales amp Services 199 Total Operating Fund 12175$ Auxiliary Enterprise Revenue 2201 Other Revenue 139 Research Fund 1080

Total Operating Fund 12194$ Total Operating Expenditures 13255$

Research Fund 1066 Net GainLoss 06$

Total Current Funds Revenues 13261$

Revenues ($M) Expenditures ($M)

Storrs and Regionals

December 13 2017 12

State Appropriation

FY18 $1993

$160

$180

$200

$220

$240

$260

FY00 FY02 FY04 FY06 FY08 FY10 FY12 FY14 FY16 FY18

Allotment Appropriation $200M Baseline

(In Millions)

Allotment includes reductions due to lapses rescissions and deficit mitigation

UConnrsquos State Appropriation hasnrsquot dropped below $200M since 2004 With the lapses UConnrsquos allotment for FY18 is currently $191M

Storrs and Regionals

December 13 2017 13

UConn Growth Since 2004

Since 2004 UConn has increased

bull Enrollment by 5434 undergraduate and graduate students

bull Faculty count by 410

bull US News and World Report ranking from 25 to 18

bull Applications up to 37000 for Fall 2017 an increase of 97

bull Institutional financial aid by $902M

bull Degrees awarded annually by 2521

Storrs and Regionals

December 13 2017 14

FY18 Comparison

Note Use of decimals may result in rounding differences

Increased enrollment gains in other revenue sources hiring freeze restricted spending and reductions in capital projects and deferred maintenance helped offset State cuts

Storrs and Regionals

December 13 2017 15

FY18 Original BOT Budget

($M)

FY18 Revised Budget

($M)

Favorable (Unfavorable)

($M)Notes

Appropriation 2112 1913 (199) Revised State Appropriation Includes $79M in lapsesFringe Benefits amp Adjustments 1469 1358 (110) Fringe estimated at 71 Includes $55M in lapses Total State Support 3581$ 3272$ (309)$ Tuition 3901 3984 83 150 more students 352 additional international studentsFees 1348 1365 17 Increased enrollmentGrants amp Contracts 775 825 50 Increase in Pell funding and other scholarships from budgeted amount FoundationEndowment 195 210 15 Increased Foundation usage to offset cutsSales amp Services 183 199 16 Based on FY17 year end actuals and first quarter resultsAuxiliary Enterprise Revenue 2201 2201 - Housing Dining and Athletics are on targetOther Revenue 159 139 (20) Some shift to expense reduction revenues trending slightly downward

Total Operating Fund 12343$ 12194$ (149)$ Increase in revenue streams helps offset the State cuts

Research Fund 1066 1066 -

Total Current Funds Revenues 13410$ 13261$ (149)$

Personal Services 4962 4947 15 Additional hiring restrictions on top of budgeted personnel reductionsFringe Benefits 2483 2513 (30) Final FY18 fringe rates are higher than FY17 but lower than wo SEBACOther ExpensesEquipment 2338 2310 28 Cost cutting expense avoidance and careful spendingEnergy 249 229 20 Based on FY17 year-end actuals and first quarter resultsStudent Financial Aid 1659 1727 (67) Increase in Pell funding ($4M) and other scholarships Debt ServiceProjects 621 449 171 Reduction in capital projects and deferred maintenance

Total Operating Fund 12312$ 12175$ 137$

Research Fund 1080 1080 -

Total Current Funds Expenditures 13392$ 13255$ 137$

Net Gain(Loss) Loss 18$ 06$ (12)$

FY18 Revenue by CategoryState support is an important and significant piece of the budget however in FY18 tuition will be the largest revenue source at over 30 of total revenues

Note Use of decimals may result in rounding differences

Appropriation 1913 Fringe Benefits amp Adjustments 1358 Total State Support 3272$ Tuition 3984 Fees 1365 Grants amp Contracts 825 FoundationEndowment 210 Sales amp Services 199 Auxiliary Enterprise Revenue 2201 Other Revenue 139

Total Operating Fund 12194$

Research Fund 1066

Total Current Funds Revenues 13261$

Revenues ($M)

State Support247

Tuition300

Fees 103

Grants amp Contracts

62

Foundation 16Sales amp Services

15 Auxiliary Enterprise Revenue

166

Research Fund 78

Other Revenue

11

Storrs and Regionals

Tuition and Fees make up more than 40 of UConnrsquos budgeted revenues

December 13 2017 16

Tuition Revenue

FY17 was the first year that tuition surpassed State support as the largest revenue source The gap grows significantly in FY18 and FY19

$2461 $2599

$2698 $2904

$3197

$3534

$3775 $3984

$4220

$3290

$2824 $2885

$3081

$3507

$3845

$3740

$3272 $3314

$225

$260

$295

$330

$365

$400

$435

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18Budget

FY19Budget

State Support and Tuition Revenue

Tuition

State Support

$91M

Storrs and Regionals

UConn enrollment growth and increased rates have resulted in overall tuition revenue increases

December 13 2017 17

FY18 Expense by Category

Note Use of decimals may result in rounding differences

Salary and Fringe Benefits are the largest expense for the University at 563 of the total with Other Expenses accounting for 158 and Financial Aid at 13

Personal Services 4947 Fringe Benefits 2513 Other Expenses 2105 Energy 229 Equipment 205 Student Financial Aid 1727 Debt ServiceProjects 449 Total Operating Fund 12175$

Research Fund 1080

Total Operating Expenditures 13255$

Expenditures ($M)

Personal Services373

Fringe Benefits

190

Other Expenses

158

Energy17

Equipment15

Student Financial Aid

130

Debt ServiceProjects

34

Research Fund 81

Storrs and Regionals

Personnel costs represent more than 56 of the overall expense budget UConn will continue to restrict hiring and closely watch any spending to help maintain the balanced budget

December 13 2017 18

Rising Costs - Salary Expenses

Between FY11 and FY18 mandated salary increases due to union agreements cost UConn about $68M or 83 of the total salary growth

Other this category includes classified non-faculty professional (UCPEA) management confidential graduate assistant student amp special payroll

The majority of the growth in FY18 is due to graduate assistant contractual increases and additional police Per the SEBAC agreement FY18 includes no facultystaff salary increases

Salary Expenses ($M)

Storrs and Regionals

December 13 2017 19

$279 $272 $285 $305 $317 $326 $321 $320

$134 $143 $141$157 $166 $171 $175 $175

$0

$100

$200

$300

$400

$500

$600

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18

FacultyAAUP

Other

$413 $414

$496

$425$462 $483 $497 $495

Revised Spending PlanUConn Health

State Budget CutsUConn Health

Compared to the BOT approved budget in June the negotiated State budget is an overall cut of $111M

December 13 2017 21

Updated FY18 Spending Plan

(Cash Sources and Uses)

Appropriation 1177 Personal Services 3912 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Total State Support 2234$ Correctional Managed Health Care 804 Tuition 200 DrugsMedical Supplies 852 Fees 44 Other Expenses 2147 Grants amp Contracts 849 Debt ServiceProjects 174 InternsResidents 667 Total Operating Fund 10211$ Net Patient Revenue 4827 Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Other Revenue 586

Total Operating Fund 10211$ Total Operating Expenditures 10895$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$ Net Gain(Loss) -$

Revenues ($M) Expenditures ($M)

UConn Health

UConn Health has achieved a balanced budget by implementing spending cuts restricting hiring and identifying new revenue streams

December 13 2017 22

FY18 Comparison

(Cash Sources and Uses)FY18

Original BOT Budget ($M)

FY18 Revised

Budget ($M)

Favorable (Unfavorable)

($M) NotesAppropriation 1254 1177 (77) Reduction in workers compensation and lapsesFringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe ratesTotal State Support 2260$ 2234$ (26)$ Tuition 200 200 - Fees 44 44 - Grants amp Contracts 872 849 (23) First quarter resultsInternsResidents 667 667 - Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter resultsCorrectional Managed Health Care 804 804 - Other Revenue 576 586 10 First quarter results - retail pharmacy Total Operating Fund 10174$ 10211$ 37$

Research and Restricted Funds 684 684 -

Total Current Funds Revenues 10858$ 10895$ 37$

Personal Services 3896 3912 (16) Implementation of final SEBAC provisionsFringe Benefits 2288 2322 (34) Implementation of final SEBAC provisionsCorrectional Managed Health Care 804 804 - DrugsMedical Supplies 847 852 (05) First quarter resultsOther Expenses 2165 2147 18 First quarter resultsDebt ServiceProjects 174 174 (00) Total Operating Fund 10174$ 10211$ (37)$

Research and Restricted Expenditures 684 684 -

Total Operating Expenditures 10858$ 10895$ (37)$

Net Gain(Loss) -$ -$ -$

UConn Health

Reductions in personnel costs and increased patient revenue offset State cuts

December 13 2017 23

Appendix

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

Agenda

1 State Budget Impact for UConn

2 UConn Storrs and Regionals - Updated Spending Plan

3 UConn Health - Updated Spending Plan

December 13 2017 2

State Budget Cuts to UConnThe negotiated State budget represents a nearly $143M cut to UConn through the biennium Additionally $214M of cuts due to lapses have been received These are dramatic reductions and will impact faculty students staff and patients at UConn

Additional Lapses Salary (7922416)$ -4 Salary (4744276)$ -4Fringe (5466467)$ Fringe (3273688)$

(13388883)$ (8017964)$ (21406847)$

December 13 2017 3

FY18 Comparison from June Budget

AppropriationFY 2017

Governor Revised FY2018

BOT (51517)

Negotiated Budget FY18

102417

AppropriationFY 2017

Governor Revised FY2018

BOT (51517)

Negotiated Budget FY18

102417

Appropriation 229917913 211242025$ 199253349$ 134539312$ 125474563$ 122427151$ Fringe Reimbursement 158643360 145756997$ 139729547$ 101283032$ 94749284$ 94734894$ TOTAL STATE SUPPORT 388561273 356999022$ 338982896$ 235822344$ 220223847$ 217162045$

Appropriation Cut (18675888)$ (30664564)$ (9064749)$ (12112161)$ Associated fringe cut (12886363)$ (18913813)$ (6533748)$ (6548138)$ TOTAL STATE SUPPORT CUT (31562251)$ (49578377)$ (15598497)$ (18660299)$

-81 -128 -66 -79Variance from FY18 BOT approved budget (18016126)$ (3061802)$ (21077928)$

UCONN UCONN HEALTH

Compared to the BOT approved budget in June the negotiated State budget is an additional overall cut of $42M representing $31M for UConn and $11M for UCH

Additional Lapses Salary (7922416)$ (4744276)$

Fringe (5466467)$ (3273688)$

(13388883)$ (8017964)$ (21406847)$

TOTAL Variance from FY18 BOT approved budget (31405009)$ (11079766)$ (42484775)$

December 13 2017 4

Balancing the Budget in FY18In order to achieve a balanced budget for FY18 the University has

bull Implemented significant University-wide spending cuts bull Enforced a prudent and strategic freeze on hiring bull Increased undergraduate enrollmentbull Enrolled more studentsbull Identified new revenue streams

bull Bookstore self-supporting programs etcbull Enhanced payments for physician servicesbull 340B retail pharmacy

bull Increased tuition (per four year plan)bull Identified and implemented efficienciesbull Deferred delayed or cancelled capital projects and deferred

maintenanceAdditional mid-year cuts would have serious implications for the entire UConn community

December 13 2017 5

Revised FY18 Spending Plan UConn and UConn Health Combined FY18 Spending Plan

Spending plan above includes $13255M for UConn Storrs and Regionals and $10895M for UConn Health

Appropriation 3090 Personal Services 8859 Fringe Benefits amp Adjustments 2415 Fringe Benefits 4835 Total State Support 5506$ Correctional Managed Health Care 804 Tuition 4184 DrugsMedical Supplies 852 Fees 1409 MedicalDental House Staff 542 Grants amp Contracts 1674 ServicesRepairMaintenance 1930 Auxiliary Enterprise Revenue 2201 Other Expenses 2214 InternsResidents 667 Student Financial Aid 1727 Net Patient Revenue 4827 Debt ServiceProjects 623 Correctional Managed Health Care 804 Total Operating Fund 22386$ Other Revenue 1135

Research Fund 1764 Total Operating Fund 22405$

Total Operating Expenditures 24150$ Research Fund 1750

Net GainLoss 06$ Total Current Funds Revenues 24156$

Expenditures ($M)Revenues ($M)

December 13 2017 6

Impact of Cuts to UConn

bull UConn has carefully and effectively managed its finances to balance the budget and maintain academic quality in the face of major reductions in State support and rising costs over the last few years The cuts in the biennium are significant and will impact every aspect of UConn

bull UConnrsquos goals are shifting from continuing to focus on protecting academic excellence delivering strong student support providing excellent patient care and supporting the research mission of the University to simply attempting to maintain our current position

bull Ongoing and mid-year cuts thwart our ability to forecast and plan effectively Continual significant cuts reduce the quality of the education UConn is able to offer and reduces the Universityrsquos ability to effectively contribute to the State and its economy

December 13 2017 7

UConn Successes At Risk

UConn successesbull Top 25 Public National University (18th) in US News and World Reportbull Opened new Downtown Hartford campus locationbull Decreased average time to degree to 42 years (4th among Peers)bull Increased number of class offerings by 33 bull Fall 2017 entering class included 81 valedictorians and 80 salutatorians

UConn Health successesbull Climbed to 56th in research and 34th in primary care categories in US News and

World Report rankingsbull ldquoArdquo rating for patient safety The Leapfrog Group 2015 2016 amp 2017bull Dental School received Geis Award for Excellencebull Increased average monthly emergency room visits to over 3000bull Expansion of programs including neurosurgery epilepsy monitoring unit sickle cell

and health disparities

The University has made significant gains and improved academic quality over the last several years These are now at risk due to the current fiscal climate and continual cuts

December 13 2017 8

Long Term Financial Challenges

UConn has carefully and effectively managed the budget despite deep cuts to the budget over the last few years Looking forward the University is facing troubling financial challenges and asks the State for stable funding

Some long term financial concerns includebull SEBAC provides a 55 increase in FY20 and FY21 which is

equivalent to $59M and $66M respectivelybull Fringe growth is projected to grow at 15 annually or $166M in

additional expenses per yearbull SEBAC provides a ldquono layoffrdquo provision Approximately 56 of

UConnrsquos costs are personnelbull Tuition Plan ends in FY20bull Patient revenues are unpredictable due to payor mix volume and

reimbursement rates

December 13 2017 9

Revised Spending PlanStorrs and Regionals

FY18 Budget Cuts

AppropriationFY 2017

Negotiated Budget FY18

102417

Negotiated Budget FY19

102417

TOTAL BIENNIUM CUT

Appropriation 229917913 199253349$ 196119593$ Fringe Reimbursement 158643360 139729547$ 135322519$ TOTAL STATE SUPPORT 388561273 338982896$ 331442112$

APPROPRIATION CUT (30664564)$ (33798320)$ (64462884)$ Associated fringe cut at 69 (in dollars) (18913813)$ $ (23320841) $ (42234654)TOTAL STATE SUPPORT CUT (49578377)$ (57119161)$ (106697538)$

TOTAL CUT (106697538)$ Cut -14

UCONN

Additional Lapses Salary (7922416)$ -4Fringe (5466467)$

(13388883)$

Storrs and Regionals

For Storrs and Regional Campuses the State budget represents a $107M cut in the biennium from the FY17 appropriation Additionally we received a $13M cut due to lapses

December 13 2017 11

Lapses = the amount of appropriation held back that is retained by OPM to achieve savings assumed in the overall State budget

Revised FY18 Spending Plan

Note Use of decimals may result in rounding differences

With a hiring freeze cost cutting new revenue streams and expense avoidance UConn projects a balanced budget for FY18 despite State cuts

Appropriation 1913 Personal Services 4947 Fringe Benefits amp Adjustments 1358 Fringe Benefits 2513 Total State Support 3272$ Other Expenses 2105 Tuition 3984 Energy 229 Fees 1365 Equipment 205 Grants amp Contracts 825 Student Financial Aid 1727 FoundationEndowment 210 Debt ServiceProjects 449 Sales amp Services 199 Total Operating Fund 12175$ Auxiliary Enterprise Revenue 2201 Other Revenue 139 Research Fund 1080

Total Operating Fund 12194$ Total Operating Expenditures 13255$

Research Fund 1066 Net GainLoss 06$

Total Current Funds Revenues 13261$

Revenues ($M) Expenditures ($M)

Storrs and Regionals

December 13 2017 12

State Appropriation

FY18 $1993

$160

$180

$200

$220

$240

$260

FY00 FY02 FY04 FY06 FY08 FY10 FY12 FY14 FY16 FY18

Allotment Appropriation $200M Baseline

(In Millions)

Allotment includes reductions due to lapses rescissions and deficit mitigation

UConnrsquos State Appropriation hasnrsquot dropped below $200M since 2004 With the lapses UConnrsquos allotment for FY18 is currently $191M

Storrs and Regionals

December 13 2017 13

UConn Growth Since 2004

Since 2004 UConn has increased

bull Enrollment by 5434 undergraduate and graduate students

bull Faculty count by 410

bull US News and World Report ranking from 25 to 18

bull Applications up to 37000 for Fall 2017 an increase of 97

bull Institutional financial aid by $902M

bull Degrees awarded annually by 2521

Storrs and Regionals

December 13 2017 14

FY18 Comparison

Note Use of decimals may result in rounding differences

Increased enrollment gains in other revenue sources hiring freeze restricted spending and reductions in capital projects and deferred maintenance helped offset State cuts

Storrs and Regionals

December 13 2017 15

FY18 Original BOT Budget

($M)

FY18 Revised Budget

($M)

Favorable (Unfavorable)

($M)Notes

Appropriation 2112 1913 (199) Revised State Appropriation Includes $79M in lapsesFringe Benefits amp Adjustments 1469 1358 (110) Fringe estimated at 71 Includes $55M in lapses Total State Support 3581$ 3272$ (309)$ Tuition 3901 3984 83 150 more students 352 additional international studentsFees 1348 1365 17 Increased enrollmentGrants amp Contracts 775 825 50 Increase in Pell funding and other scholarships from budgeted amount FoundationEndowment 195 210 15 Increased Foundation usage to offset cutsSales amp Services 183 199 16 Based on FY17 year end actuals and first quarter resultsAuxiliary Enterprise Revenue 2201 2201 - Housing Dining and Athletics are on targetOther Revenue 159 139 (20) Some shift to expense reduction revenues trending slightly downward

Total Operating Fund 12343$ 12194$ (149)$ Increase in revenue streams helps offset the State cuts

Research Fund 1066 1066 -

Total Current Funds Revenues 13410$ 13261$ (149)$

Personal Services 4962 4947 15 Additional hiring restrictions on top of budgeted personnel reductionsFringe Benefits 2483 2513 (30) Final FY18 fringe rates are higher than FY17 but lower than wo SEBACOther ExpensesEquipment 2338 2310 28 Cost cutting expense avoidance and careful spendingEnergy 249 229 20 Based on FY17 year-end actuals and first quarter resultsStudent Financial Aid 1659 1727 (67) Increase in Pell funding ($4M) and other scholarships Debt ServiceProjects 621 449 171 Reduction in capital projects and deferred maintenance

Total Operating Fund 12312$ 12175$ 137$

Research Fund 1080 1080 -

Total Current Funds Expenditures 13392$ 13255$ 137$

Net Gain(Loss) Loss 18$ 06$ (12)$

FY18 Revenue by CategoryState support is an important and significant piece of the budget however in FY18 tuition will be the largest revenue source at over 30 of total revenues

Note Use of decimals may result in rounding differences

Appropriation 1913 Fringe Benefits amp Adjustments 1358 Total State Support 3272$ Tuition 3984 Fees 1365 Grants amp Contracts 825 FoundationEndowment 210 Sales amp Services 199 Auxiliary Enterprise Revenue 2201 Other Revenue 139

Total Operating Fund 12194$

Research Fund 1066

Total Current Funds Revenues 13261$

Revenues ($M)

State Support247

Tuition300

Fees 103

Grants amp Contracts

62

Foundation 16Sales amp Services

15 Auxiliary Enterprise Revenue

166

Research Fund 78

Other Revenue

11

Storrs and Regionals

Tuition and Fees make up more than 40 of UConnrsquos budgeted revenues

December 13 2017 16

Tuition Revenue

FY17 was the first year that tuition surpassed State support as the largest revenue source The gap grows significantly in FY18 and FY19

$2461 $2599

$2698 $2904

$3197

$3534

$3775 $3984

$4220

$3290

$2824 $2885

$3081

$3507

$3845

$3740

$3272 $3314

$225

$260

$295

$330

$365

$400

$435

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18Budget

FY19Budget

State Support and Tuition Revenue

Tuition

State Support

$91M

Storrs and Regionals

UConn enrollment growth and increased rates have resulted in overall tuition revenue increases

December 13 2017 17

FY18 Expense by Category

Note Use of decimals may result in rounding differences

Salary and Fringe Benefits are the largest expense for the University at 563 of the total with Other Expenses accounting for 158 and Financial Aid at 13

Personal Services 4947 Fringe Benefits 2513 Other Expenses 2105 Energy 229 Equipment 205 Student Financial Aid 1727 Debt ServiceProjects 449 Total Operating Fund 12175$

Research Fund 1080

Total Operating Expenditures 13255$

Expenditures ($M)

Personal Services373

Fringe Benefits

190

Other Expenses

158

Energy17

Equipment15

Student Financial Aid

130

Debt ServiceProjects

34

Research Fund 81

Storrs and Regionals

Personnel costs represent more than 56 of the overall expense budget UConn will continue to restrict hiring and closely watch any spending to help maintain the balanced budget

December 13 2017 18

Rising Costs - Salary Expenses

Between FY11 and FY18 mandated salary increases due to union agreements cost UConn about $68M or 83 of the total salary growth

Other this category includes classified non-faculty professional (UCPEA) management confidential graduate assistant student amp special payroll

The majority of the growth in FY18 is due to graduate assistant contractual increases and additional police Per the SEBAC agreement FY18 includes no facultystaff salary increases

Salary Expenses ($M)

Storrs and Regionals

December 13 2017 19

$279 $272 $285 $305 $317 $326 $321 $320

$134 $143 $141$157 $166 $171 $175 $175

$0

$100

$200

$300

$400

$500

$600

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18

FacultyAAUP

Other

$413 $414

$496

$425$462 $483 $497 $495

Revised Spending PlanUConn Health

State Budget CutsUConn Health

Compared to the BOT approved budget in June the negotiated State budget is an overall cut of $111M

December 13 2017 21

Updated FY18 Spending Plan

(Cash Sources and Uses)

Appropriation 1177 Personal Services 3912 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Total State Support 2234$ Correctional Managed Health Care 804 Tuition 200 DrugsMedical Supplies 852 Fees 44 Other Expenses 2147 Grants amp Contracts 849 Debt ServiceProjects 174 InternsResidents 667 Total Operating Fund 10211$ Net Patient Revenue 4827 Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Other Revenue 586

Total Operating Fund 10211$ Total Operating Expenditures 10895$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$ Net Gain(Loss) -$

Revenues ($M) Expenditures ($M)

UConn Health

UConn Health has achieved a balanced budget by implementing spending cuts restricting hiring and identifying new revenue streams

December 13 2017 22

FY18 Comparison

(Cash Sources and Uses)FY18

Original BOT Budget ($M)

FY18 Revised

Budget ($M)

Favorable (Unfavorable)

($M) NotesAppropriation 1254 1177 (77) Reduction in workers compensation and lapsesFringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe ratesTotal State Support 2260$ 2234$ (26)$ Tuition 200 200 - Fees 44 44 - Grants amp Contracts 872 849 (23) First quarter resultsInternsResidents 667 667 - Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter resultsCorrectional Managed Health Care 804 804 - Other Revenue 576 586 10 First quarter results - retail pharmacy Total Operating Fund 10174$ 10211$ 37$

Research and Restricted Funds 684 684 -

Total Current Funds Revenues 10858$ 10895$ 37$

Personal Services 3896 3912 (16) Implementation of final SEBAC provisionsFringe Benefits 2288 2322 (34) Implementation of final SEBAC provisionsCorrectional Managed Health Care 804 804 - DrugsMedical Supplies 847 852 (05) First quarter resultsOther Expenses 2165 2147 18 First quarter resultsDebt ServiceProjects 174 174 (00) Total Operating Fund 10174$ 10211$ (37)$

Research and Restricted Expenditures 684 684 -

Total Operating Expenditures 10858$ 10895$ (37)$

Net Gain(Loss) -$ -$ -$

UConn Health

Reductions in personnel costs and increased patient revenue offset State cuts

December 13 2017 23

Appendix

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

State Budget Cuts to UConnThe negotiated State budget represents a nearly $143M cut to UConn through the biennium Additionally $214M of cuts due to lapses have been received These are dramatic reductions and will impact faculty students staff and patients at UConn

Additional Lapses Salary (7922416)$ -4 Salary (4744276)$ -4Fringe (5466467)$ Fringe (3273688)$

(13388883)$ (8017964)$ (21406847)$

December 13 2017 3

FY18 Comparison from June Budget

AppropriationFY 2017

Governor Revised FY2018

BOT (51517)

Negotiated Budget FY18

102417

AppropriationFY 2017

Governor Revised FY2018

BOT (51517)

Negotiated Budget FY18

102417

Appropriation 229917913 211242025$ 199253349$ 134539312$ 125474563$ 122427151$ Fringe Reimbursement 158643360 145756997$ 139729547$ 101283032$ 94749284$ 94734894$ TOTAL STATE SUPPORT 388561273 356999022$ 338982896$ 235822344$ 220223847$ 217162045$

Appropriation Cut (18675888)$ (30664564)$ (9064749)$ (12112161)$ Associated fringe cut (12886363)$ (18913813)$ (6533748)$ (6548138)$ TOTAL STATE SUPPORT CUT (31562251)$ (49578377)$ (15598497)$ (18660299)$

-81 -128 -66 -79Variance from FY18 BOT approved budget (18016126)$ (3061802)$ (21077928)$

UCONN UCONN HEALTH

Compared to the BOT approved budget in June the negotiated State budget is an additional overall cut of $42M representing $31M for UConn and $11M for UCH

Additional Lapses Salary (7922416)$ (4744276)$

Fringe (5466467)$ (3273688)$

(13388883)$ (8017964)$ (21406847)$

TOTAL Variance from FY18 BOT approved budget (31405009)$ (11079766)$ (42484775)$

December 13 2017 4

Balancing the Budget in FY18In order to achieve a balanced budget for FY18 the University has

bull Implemented significant University-wide spending cuts bull Enforced a prudent and strategic freeze on hiring bull Increased undergraduate enrollmentbull Enrolled more studentsbull Identified new revenue streams

bull Bookstore self-supporting programs etcbull Enhanced payments for physician servicesbull 340B retail pharmacy

bull Increased tuition (per four year plan)bull Identified and implemented efficienciesbull Deferred delayed or cancelled capital projects and deferred

maintenanceAdditional mid-year cuts would have serious implications for the entire UConn community

December 13 2017 5

Revised FY18 Spending Plan UConn and UConn Health Combined FY18 Spending Plan

Spending plan above includes $13255M for UConn Storrs and Regionals and $10895M for UConn Health

Appropriation 3090 Personal Services 8859 Fringe Benefits amp Adjustments 2415 Fringe Benefits 4835 Total State Support 5506$ Correctional Managed Health Care 804 Tuition 4184 DrugsMedical Supplies 852 Fees 1409 MedicalDental House Staff 542 Grants amp Contracts 1674 ServicesRepairMaintenance 1930 Auxiliary Enterprise Revenue 2201 Other Expenses 2214 InternsResidents 667 Student Financial Aid 1727 Net Patient Revenue 4827 Debt ServiceProjects 623 Correctional Managed Health Care 804 Total Operating Fund 22386$ Other Revenue 1135

Research Fund 1764 Total Operating Fund 22405$

Total Operating Expenditures 24150$ Research Fund 1750

Net GainLoss 06$ Total Current Funds Revenues 24156$

Expenditures ($M)Revenues ($M)

December 13 2017 6

Impact of Cuts to UConn

bull UConn has carefully and effectively managed its finances to balance the budget and maintain academic quality in the face of major reductions in State support and rising costs over the last few years The cuts in the biennium are significant and will impact every aspect of UConn

bull UConnrsquos goals are shifting from continuing to focus on protecting academic excellence delivering strong student support providing excellent patient care and supporting the research mission of the University to simply attempting to maintain our current position

bull Ongoing and mid-year cuts thwart our ability to forecast and plan effectively Continual significant cuts reduce the quality of the education UConn is able to offer and reduces the Universityrsquos ability to effectively contribute to the State and its economy

December 13 2017 7

UConn Successes At Risk

UConn successesbull Top 25 Public National University (18th) in US News and World Reportbull Opened new Downtown Hartford campus locationbull Decreased average time to degree to 42 years (4th among Peers)bull Increased number of class offerings by 33 bull Fall 2017 entering class included 81 valedictorians and 80 salutatorians

UConn Health successesbull Climbed to 56th in research and 34th in primary care categories in US News and

World Report rankingsbull ldquoArdquo rating for patient safety The Leapfrog Group 2015 2016 amp 2017bull Dental School received Geis Award for Excellencebull Increased average monthly emergency room visits to over 3000bull Expansion of programs including neurosurgery epilepsy monitoring unit sickle cell

and health disparities

The University has made significant gains and improved academic quality over the last several years These are now at risk due to the current fiscal climate and continual cuts

December 13 2017 8

Long Term Financial Challenges

UConn has carefully and effectively managed the budget despite deep cuts to the budget over the last few years Looking forward the University is facing troubling financial challenges and asks the State for stable funding

Some long term financial concerns includebull SEBAC provides a 55 increase in FY20 and FY21 which is

equivalent to $59M and $66M respectivelybull Fringe growth is projected to grow at 15 annually or $166M in

additional expenses per yearbull SEBAC provides a ldquono layoffrdquo provision Approximately 56 of

UConnrsquos costs are personnelbull Tuition Plan ends in FY20bull Patient revenues are unpredictable due to payor mix volume and

reimbursement rates

December 13 2017 9

Revised Spending PlanStorrs and Regionals

FY18 Budget Cuts

AppropriationFY 2017

Negotiated Budget FY18

102417

Negotiated Budget FY19

102417

TOTAL BIENNIUM CUT

Appropriation 229917913 199253349$ 196119593$ Fringe Reimbursement 158643360 139729547$ 135322519$ TOTAL STATE SUPPORT 388561273 338982896$ 331442112$

APPROPRIATION CUT (30664564)$ (33798320)$ (64462884)$ Associated fringe cut at 69 (in dollars) (18913813)$ $ (23320841) $ (42234654)TOTAL STATE SUPPORT CUT (49578377)$ (57119161)$ (106697538)$

TOTAL CUT (106697538)$ Cut -14

UCONN

Additional Lapses Salary (7922416)$ -4Fringe (5466467)$

(13388883)$

Storrs and Regionals

For Storrs and Regional Campuses the State budget represents a $107M cut in the biennium from the FY17 appropriation Additionally we received a $13M cut due to lapses

December 13 2017 11

Lapses = the amount of appropriation held back that is retained by OPM to achieve savings assumed in the overall State budget

Revised FY18 Spending Plan

Note Use of decimals may result in rounding differences

With a hiring freeze cost cutting new revenue streams and expense avoidance UConn projects a balanced budget for FY18 despite State cuts

Appropriation 1913 Personal Services 4947 Fringe Benefits amp Adjustments 1358 Fringe Benefits 2513 Total State Support 3272$ Other Expenses 2105 Tuition 3984 Energy 229 Fees 1365 Equipment 205 Grants amp Contracts 825 Student Financial Aid 1727 FoundationEndowment 210 Debt ServiceProjects 449 Sales amp Services 199 Total Operating Fund 12175$ Auxiliary Enterprise Revenue 2201 Other Revenue 139 Research Fund 1080

Total Operating Fund 12194$ Total Operating Expenditures 13255$

Research Fund 1066 Net GainLoss 06$

Total Current Funds Revenues 13261$

Revenues ($M) Expenditures ($M)

Storrs and Regionals

December 13 2017 12

State Appropriation

FY18 $1993

$160

$180

$200

$220

$240

$260

FY00 FY02 FY04 FY06 FY08 FY10 FY12 FY14 FY16 FY18

Allotment Appropriation $200M Baseline

(In Millions)

Allotment includes reductions due to lapses rescissions and deficit mitigation

UConnrsquos State Appropriation hasnrsquot dropped below $200M since 2004 With the lapses UConnrsquos allotment for FY18 is currently $191M

Storrs and Regionals

December 13 2017 13

UConn Growth Since 2004

Since 2004 UConn has increased

bull Enrollment by 5434 undergraduate and graduate students

bull Faculty count by 410

bull US News and World Report ranking from 25 to 18

bull Applications up to 37000 for Fall 2017 an increase of 97

bull Institutional financial aid by $902M

bull Degrees awarded annually by 2521

Storrs and Regionals

December 13 2017 14

FY18 Comparison

Note Use of decimals may result in rounding differences

Increased enrollment gains in other revenue sources hiring freeze restricted spending and reductions in capital projects and deferred maintenance helped offset State cuts

Storrs and Regionals

December 13 2017 15

FY18 Original BOT Budget

($M)

FY18 Revised Budget

($M)

Favorable (Unfavorable)

($M)Notes

Appropriation 2112 1913 (199) Revised State Appropriation Includes $79M in lapsesFringe Benefits amp Adjustments 1469 1358 (110) Fringe estimated at 71 Includes $55M in lapses Total State Support 3581$ 3272$ (309)$ Tuition 3901 3984 83 150 more students 352 additional international studentsFees 1348 1365 17 Increased enrollmentGrants amp Contracts 775 825 50 Increase in Pell funding and other scholarships from budgeted amount FoundationEndowment 195 210 15 Increased Foundation usage to offset cutsSales amp Services 183 199 16 Based on FY17 year end actuals and first quarter resultsAuxiliary Enterprise Revenue 2201 2201 - Housing Dining and Athletics are on targetOther Revenue 159 139 (20) Some shift to expense reduction revenues trending slightly downward

Total Operating Fund 12343$ 12194$ (149)$ Increase in revenue streams helps offset the State cuts

Research Fund 1066 1066 -

Total Current Funds Revenues 13410$ 13261$ (149)$

Personal Services 4962 4947 15 Additional hiring restrictions on top of budgeted personnel reductionsFringe Benefits 2483 2513 (30) Final FY18 fringe rates are higher than FY17 but lower than wo SEBACOther ExpensesEquipment 2338 2310 28 Cost cutting expense avoidance and careful spendingEnergy 249 229 20 Based on FY17 year-end actuals and first quarter resultsStudent Financial Aid 1659 1727 (67) Increase in Pell funding ($4M) and other scholarships Debt ServiceProjects 621 449 171 Reduction in capital projects and deferred maintenance

Total Operating Fund 12312$ 12175$ 137$

Research Fund 1080 1080 -

Total Current Funds Expenditures 13392$ 13255$ 137$

Net Gain(Loss) Loss 18$ 06$ (12)$

FY18 Revenue by CategoryState support is an important and significant piece of the budget however in FY18 tuition will be the largest revenue source at over 30 of total revenues

Note Use of decimals may result in rounding differences

Appropriation 1913 Fringe Benefits amp Adjustments 1358 Total State Support 3272$ Tuition 3984 Fees 1365 Grants amp Contracts 825 FoundationEndowment 210 Sales amp Services 199 Auxiliary Enterprise Revenue 2201 Other Revenue 139

Total Operating Fund 12194$

Research Fund 1066

Total Current Funds Revenues 13261$

Revenues ($M)

State Support247

Tuition300

Fees 103

Grants amp Contracts

62

Foundation 16Sales amp Services

15 Auxiliary Enterprise Revenue

166

Research Fund 78

Other Revenue

11

Storrs and Regionals

Tuition and Fees make up more than 40 of UConnrsquos budgeted revenues

December 13 2017 16

Tuition Revenue

FY17 was the first year that tuition surpassed State support as the largest revenue source The gap grows significantly in FY18 and FY19

$2461 $2599

$2698 $2904

$3197

$3534

$3775 $3984

$4220

$3290

$2824 $2885

$3081

$3507

$3845

$3740

$3272 $3314

$225

$260

$295

$330

$365

$400

$435

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18Budget

FY19Budget

State Support and Tuition Revenue

Tuition

State Support

$91M

Storrs and Regionals

UConn enrollment growth and increased rates have resulted in overall tuition revenue increases

December 13 2017 17

FY18 Expense by Category

Note Use of decimals may result in rounding differences

Salary and Fringe Benefits are the largest expense for the University at 563 of the total with Other Expenses accounting for 158 and Financial Aid at 13

Personal Services 4947 Fringe Benefits 2513 Other Expenses 2105 Energy 229 Equipment 205 Student Financial Aid 1727 Debt ServiceProjects 449 Total Operating Fund 12175$

Research Fund 1080

Total Operating Expenditures 13255$

Expenditures ($M)

Personal Services373

Fringe Benefits

190

Other Expenses

158

Energy17

Equipment15

Student Financial Aid

130

Debt ServiceProjects

34

Research Fund 81

Storrs and Regionals

Personnel costs represent more than 56 of the overall expense budget UConn will continue to restrict hiring and closely watch any spending to help maintain the balanced budget

December 13 2017 18

Rising Costs - Salary Expenses

Between FY11 and FY18 mandated salary increases due to union agreements cost UConn about $68M or 83 of the total salary growth

Other this category includes classified non-faculty professional (UCPEA) management confidential graduate assistant student amp special payroll

The majority of the growth in FY18 is due to graduate assistant contractual increases and additional police Per the SEBAC agreement FY18 includes no facultystaff salary increases

Salary Expenses ($M)

Storrs and Regionals

December 13 2017 19

$279 $272 $285 $305 $317 $326 $321 $320

$134 $143 $141$157 $166 $171 $175 $175

$0

$100

$200

$300

$400

$500

$600

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18

FacultyAAUP

Other

$413 $414

$496

$425$462 $483 $497 $495

Revised Spending PlanUConn Health

State Budget CutsUConn Health

Compared to the BOT approved budget in June the negotiated State budget is an overall cut of $111M

December 13 2017 21

Updated FY18 Spending Plan

(Cash Sources and Uses)

Appropriation 1177 Personal Services 3912 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Total State Support 2234$ Correctional Managed Health Care 804 Tuition 200 DrugsMedical Supplies 852 Fees 44 Other Expenses 2147 Grants amp Contracts 849 Debt ServiceProjects 174 InternsResidents 667 Total Operating Fund 10211$ Net Patient Revenue 4827 Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Other Revenue 586

Total Operating Fund 10211$ Total Operating Expenditures 10895$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$ Net Gain(Loss) -$

Revenues ($M) Expenditures ($M)

UConn Health

UConn Health has achieved a balanced budget by implementing spending cuts restricting hiring and identifying new revenue streams

December 13 2017 22

FY18 Comparison

(Cash Sources and Uses)FY18

Original BOT Budget ($M)

FY18 Revised

Budget ($M)

Favorable (Unfavorable)

($M) NotesAppropriation 1254 1177 (77) Reduction in workers compensation and lapsesFringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe ratesTotal State Support 2260$ 2234$ (26)$ Tuition 200 200 - Fees 44 44 - Grants amp Contracts 872 849 (23) First quarter resultsInternsResidents 667 667 - Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter resultsCorrectional Managed Health Care 804 804 - Other Revenue 576 586 10 First quarter results - retail pharmacy Total Operating Fund 10174$ 10211$ 37$

Research and Restricted Funds 684 684 -

Total Current Funds Revenues 10858$ 10895$ 37$

Personal Services 3896 3912 (16) Implementation of final SEBAC provisionsFringe Benefits 2288 2322 (34) Implementation of final SEBAC provisionsCorrectional Managed Health Care 804 804 - DrugsMedical Supplies 847 852 (05) First quarter resultsOther Expenses 2165 2147 18 First quarter resultsDebt ServiceProjects 174 174 (00) Total Operating Fund 10174$ 10211$ (37)$

Research and Restricted Expenditures 684 684 -

Total Operating Expenditures 10858$ 10895$ (37)$

Net Gain(Loss) -$ -$ -$

UConn Health

Reductions in personnel costs and increased patient revenue offset State cuts

December 13 2017 23

Appendix

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

FY18 Comparison from June Budget

AppropriationFY 2017

Governor Revised FY2018

BOT (51517)

Negotiated Budget FY18

102417

AppropriationFY 2017

Governor Revised FY2018

BOT (51517)

Negotiated Budget FY18

102417

Appropriation 229917913 211242025$ 199253349$ 134539312$ 125474563$ 122427151$ Fringe Reimbursement 158643360 145756997$ 139729547$ 101283032$ 94749284$ 94734894$ TOTAL STATE SUPPORT 388561273 356999022$ 338982896$ 235822344$ 220223847$ 217162045$

Appropriation Cut (18675888)$ (30664564)$ (9064749)$ (12112161)$ Associated fringe cut (12886363)$ (18913813)$ (6533748)$ (6548138)$ TOTAL STATE SUPPORT CUT (31562251)$ (49578377)$ (15598497)$ (18660299)$

-81 -128 -66 -79Variance from FY18 BOT approved budget (18016126)$ (3061802)$ (21077928)$

UCONN UCONN HEALTH

Compared to the BOT approved budget in June the negotiated State budget is an additional overall cut of $42M representing $31M for UConn and $11M for UCH

Additional Lapses Salary (7922416)$ (4744276)$

Fringe (5466467)$ (3273688)$

(13388883)$ (8017964)$ (21406847)$

TOTAL Variance from FY18 BOT approved budget (31405009)$ (11079766)$ (42484775)$

December 13 2017 4

Balancing the Budget in FY18In order to achieve a balanced budget for FY18 the University has

bull Implemented significant University-wide spending cuts bull Enforced a prudent and strategic freeze on hiring bull Increased undergraduate enrollmentbull Enrolled more studentsbull Identified new revenue streams

bull Bookstore self-supporting programs etcbull Enhanced payments for physician servicesbull 340B retail pharmacy

bull Increased tuition (per four year plan)bull Identified and implemented efficienciesbull Deferred delayed or cancelled capital projects and deferred

maintenanceAdditional mid-year cuts would have serious implications for the entire UConn community

December 13 2017 5

Revised FY18 Spending Plan UConn and UConn Health Combined FY18 Spending Plan

Spending plan above includes $13255M for UConn Storrs and Regionals and $10895M for UConn Health

Appropriation 3090 Personal Services 8859 Fringe Benefits amp Adjustments 2415 Fringe Benefits 4835 Total State Support 5506$ Correctional Managed Health Care 804 Tuition 4184 DrugsMedical Supplies 852 Fees 1409 MedicalDental House Staff 542 Grants amp Contracts 1674 ServicesRepairMaintenance 1930 Auxiliary Enterprise Revenue 2201 Other Expenses 2214 InternsResidents 667 Student Financial Aid 1727 Net Patient Revenue 4827 Debt ServiceProjects 623 Correctional Managed Health Care 804 Total Operating Fund 22386$ Other Revenue 1135

Research Fund 1764 Total Operating Fund 22405$

Total Operating Expenditures 24150$ Research Fund 1750

Net GainLoss 06$ Total Current Funds Revenues 24156$

Expenditures ($M)Revenues ($M)

December 13 2017 6

Impact of Cuts to UConn

bull UConn has carefully and effectively managed its finances to balance the budget and maintain academic quality in the face of major reductions in State support and rising costs over the last few years The cuts in the biennium are significant and will impact every aspect of UConn

bull UConnrsquos goals are shifting from continuing to focus on protecting academic excellence delivering strong student support providing excellent patient care and supporting the research mission of the University to simply attempting to maintain our current position

bull Ongoing and mid-year cuts thwart our ability to forecast and plan effectively Continual significant cuts reduce the quality of the education UConn is able to offer and reduces the Universityrsquos ability to effectively contribute to the State and its economy

December 13 2017 7

UConn Successes At Risk

UConn successesbull Top 25 Public National University (18th) in US News and World Reportbull Opened new Downtown Hartford campus locationbull Decreased average time to degree to 42 years (4th among Peers)bull Increased number of class offerings by 33 bull Fall 2017 entering class included 81 valedictorians and 80 salutatorians

UConn Health successesbull Climbed to 56th in research and 34th in primary care categories in US News and

World Report rankingsbull ldquoArdquo rating for patient safety The Leapfrog Group 2015 2016 amp 2017bull Dental School received Geis Award for Excellencebull Increased average monthly emergency room visits to over 3000bull Expansion of programs including neurosurgery epilepsy monitoring unit sickle cell

and health disparities

The University has made significant gains and improved academic quality over the last several years These are now at risk due to the current fiscal climate and continual cuts

December 13 2017 8

Long Term Financial Challenges

UConn has carefully and effectively managed the budget despite deep cuts to the budget over the last few years Looking forward the University is facing troubling financial challenges and asks the State for stable funding

Some long term financial concerns includebull SEBAC provides a 55 increase in FY20 and FY21 which is

equivalent to $59M and $66M respectivelybull Fringe growth is projected to grow at 15 annually or $166M in

additional expenses per yearbull SEBAC provides a ldquono layoffrdquo provision Approximately 56 of

UConnrsquos costs are personnelbull Tuition Plan ends in FY20bull Patient revenues are unpredictable due to payor mix volume and

reimbursement rates

December 13 2017 9

Revised Spending PlanStorrs and Regionals

FY18 Budget Cuts

AppropriationFY 2017

Negotiated Budget FY18

102417

Negotiated Budget FY19

102417

TOTAL BIENNIUM CUT

Appropriation 229917913 199253349$ 196119593$ Fringe Reimbursement 158643360 139729547$ 135322519$ TOTAL STATE SUPPORT 388561273 338982896$ 331442112$

APPROPRIATION CUT (30664564)$ (33798320)$ (64462884)$ Associated fringe cut at 69 (in dollars) (18913813)$ $ (23320841) $ (42234654)TOTAL STATE SUPPORT CUT (49578377)$ (57119161)$ (106697538)$

TOTAL CUT (106697538)$ Cut -14

UCONN

Additional Lapses Salary (7922416)$ -4Fringe (5466467)$

(13388883)$

Storrs and Regionals

For Storrs and Regional Campuses the State budget represents a $107M cut in the biennium from the FY17 appropriation Additionally we received a $13M cut due to lapses

December 13 2017 11

Lapses = the amount of appropriation held back that is retained by OPM to achieve savings assumed in the overall State budget

Revised FY18 Spending Plan

Note Use of decimals may result in rounding differences

With a hiring freeze cost cutting new revenue streams and expense avoidance UConn projects a balanced budget for FY18 despite State cuts

Appropriation 1913 Personal Services 4947 Fringe Benefits amp Adjustments 1358 Fringe Benefits 2513 Total State Support 3272$ Other Expenses 2105 Tuition 3984 Energy 229 Fees 1365 Equipment 205 Grants amp Contracts 825 Student Financial Aid 1727 FoundationEndowment 210 Debt ServiceProjects 449 Sales amp Services 199 Total Operating Fund 12175$ Auxiliary Enterprise Revenue 2201 Other Revenue 139 Research Fund 1080

Total Operating Fund 12194$ Total Operating Expenditures 13255$

Research Fund 1066 Net GainLoss 06$

Total Current Funds Revenues 13261$

Revenues ($M) Expenditures ($M)

Storrs and Regionals

December 13 2017 12

State Appropriation

FY18 $1993

$160

$180

$200

$220

$240

$260

FY00 FY02 FY04 FY06 FY08 FY10 FY12 FY14 FY16 FY18

Allotment Appropriation $200M Baseline

(In Millions)

Allotment includes reductions due to lapses rescissions and deficit mitigation

UConnrsquos State Appropriation hasnrsquot dropped below $200M since 2004 With the lapses UConnrsquos allotment for FY18 is currently $191M

Storrs and Regionals

December 13 2017 13

UConn Growth Since 2004

Since 2004 UConn has increased

bull Enrollment by 5434 undergraduate and graduate students

bull Faculty count by 410

bull US News and World Report ranking from 25 to 18

bull Applications up to 37000 for Fall 2017 an increase of 97

bull Institutional financial aid by $902M

bull Degrees awarded annually by 2521

Storrs and Regionals

December 13 2017 14

FY18 Comparison

Note Use of decimals may result in rounding differences

Increased enrollment gains in other revenue sources hiring freeze restricted spending and reductions in capital projects and deferred maintenance helped offset State cuts

Storrs and Regionals

December 13 2017 15

FY18 Original BOT Budget

($M)

FY18 Revised Budget

($M)

Favorable (Unfavorable)

($M)Notes

Appropriation 2112 1913 (199) Revised State Appropriation Includes $79M in lapsesFringe Benefits amp Adjustments 1469 1358 (110) Fringe estimated at 71 Includes $55M in lapses Total State Support 3581$ 3272$ (309)$ Tuition 3901 3984 83 150 more students 352 additional international studentsFees 1348 1365 17 Increased enrollmentGrants amp Contracts 775 825 50 Increase in Pell funding and other scholarships from budgeted amount FoundationEndowment 195 210 15 Increased Foundation usage to offset cutsSales amp Services 183 199 16 Based on FY17 year end actuals and first quarter resultsAuxiliary Enterprise Revenue 2201 2201 - Housing Dining and Athletics are on targetOther Revenue 159 139 (20) Some shift to expense reduction revenues trending slightly downward

Total Operating Fund 12343$ 12194$ (149)$ Increase in revenue streams helps offset the State cuts

Research Fund 1066 1066 -

Total Current Funds Revenues 13410$ 13261$ (149)$

Personal Services 4962 4947 15 Additional hiring restrictions on top of budgeted personnel reductionsFringe Benefits 2483 2513 (30) Final FY18 fringe rates are higher than FY17 but lower than wo SEBACOther ExpensesEquipment 2338 2310 28 Cost cutting expense avoidance and careful spendingEnergy 249 229 20 Based on FY17 year-end actuals and first quarter resultsStudent Financial Aid 1659 1727 (67) Increase in Pell funding ($4M) and other scholarships Debt ServiceProjects 621 449 171 Reduction in capital projects and deferred maintenance

Total Operating Fund 12312$ 12175$ 137$

Research Fund 1080 1080 -

Total Current Funds Expenditures 13392$ 13255$ 137$

Net Gain(Loss) Loss 18$ 06$ (12)$

FY18 Revenue by CategoryState support is an important and significant piece of the budget however in FY18 tuition will be the largest revenue source at over 30 of total revenues

Note Use of decimals may result in rounding differences

Appropriation 1913 Fringe Benefits amp Adjustments 1358 Total State Support 3272$ Tuition 3984 Fees 1365 Grants amp Contracts 825 FoundationEndowment 210 Sales amp Services 199 Auxiliary Enterprise Revenue 2201 Other Revenue 139

Total Operating Fund 12194$

Research Fund 1066

Total Current Funds Revenues 13261$

Revenues ($M)

State Support247

Tuition300

Fees 103

Grants amp Contracts

62

Foundation 16Sales amp Services

15 Auxiliary Enterprise Revenue

166

Research Fund 78

Other Revenue

11

Storrs and Regionals

Tuition and Fees make up more than 40 of UConnrsquos budgeted revenues

December 13 2017 16

Tuition Revenue

FY17 was the first year that tuition surpassed State support as the largest revenue source The gap grows significantly in FY18 and FY19

$2461 $2599

$2698 $2904

$3197

$3534

$3775 $3984

$4220

$3290

$2824 $2885

$3081

$3507

$3845

$3740

$3272 $3314

$225

$260

$295

$330

$365

$400

$435

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18Budget

FY19Budget

State Support and Tuition Revenue

Tuition

State Support

$91M

Storrs and Regionals

UConn enrollment growth and increased rates have resulted in overall tuition revenue increases

December 13 2017 17

FY18 Expense by Category

Note Use of decimals may result in rounding differences

Salary and Fringe Benefits are the largest expense for the University at 563 of the total with Other Expenses accounting for 158 and Financial Aid at 13

Personal Services 4947 Fringe Benefits 2513 Other Expenses 2105 Energy 229 Equipment 205 Student Financial Aid 1727 Debt ServiceProjects 449 Total Operating Fund 12175$

Research Fund 1080

Total Operating Expenditures 13255$

Expenditures ($M)

Personal Services373

Fringe Benefits

190

Other Expenses

158

Energy17

Equipment15

Student Financial Aid

130

Debt ServiceProjects

34

Research Fund 81

Storrs and Regionals

Personnel costs represent more than 56 of the overall expense budget UConn will continue to restrict hiring and closely watch any spending to help maintain the balanced budget

December 13 2017 18

Rising Costs - Salary Expenses

Between FY11 and FY18 mandated salary increases due to union agreements cost UConn about $68M or 83 of the total salary growth

Other this category includes classified non-faculty professional (UCPEA) management confidential graduate assistant student amp special payroll

The majority of the growth in FY18 is due to graduate assistant contractual increases and additional police Per the SEBAC agreement FY18 includes no facultystaff salary increases

Salary Expenses ($M)

Storrs and Regionals

December 13 2017 19

$279 $272 $285 $305 $317 $326 $321 $320

$134 $143 $141$157 $166 $171 $175 $175

$0

$100

$200

$300

$400

$500

$600

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18

FacultyAAUP

Other

$413 $414

$496

$425$462 $483 $497 $495

Revised Spending PlanUConn Health

State Budget CutsUConn Health

Compared to the BOT approved budget in June the negotiated State budget is an overall cut of $111M

December 13 2017 21

Updated FY18 Spending Plan

(Cash Sources and Uses)

Appropriation 1177 Personal Services 3912 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Total State Support 2234$ Correctional Managed Health Care 804 Tuition 200 DrugsMedical Supplies 852 Fees 44 Other Expenses 2147 Grants amp Contracts 849 Debt ServiceProjects 174 InternsResidents 667 Total Operating Fund 10211$ Net Patient Revenue 4827 Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Other Revenue 586

Total Operating Fund 10211$ Total Operating Expenditures 10895$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$ Net Gain(Loss) -$

Revenues ($M) Expenditures ($M)

UConn Health

UConn Health has achieved a balanced budget by implementing spending cuts restricting hiring and identifying new revenue streams

December 13 2017 22

FY18 Comparison

(Cash Sources and Uses)FY18

Original BOT Budget ($M)

FY18 Revised

Budget ($M)

Favorable (Unfavorable)

($M) NotesAppropriation 1254 1177 (77) Reduction in workers compensation and lapsesFringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe ratesTotal State Support 2260$ 2234$ (26)$ Tuition 200 200 - Fees 44 44 - Grants amp Contracts 872 849 (23) First quarter resultsInternsResidents 667 667 - Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter resultsCorrectional Managed Health Care 804 804 - Other Revenue 576 586 10 First quarter results - retail pharmacy Total Operating Fund 10174$ 10211$ 37$

Research and Restricted Funds 684 684 -

Total Current Funds Revenues 10858$ 10895$ 37$

Personal Services 3896 3912 (16) Implementation of final SEBAC provisionsFringe Benefits 2288 2322 (34) Implementation of final SEBAC provisionsCorrectional Managed Health Care 804 804 - DrugsMedical Supplies 847 852 (05) First quarter resultsOther Expenses 2165 2147 18 First quarter resultsDebt ServiceProjects 174 174 (00) Total Operating Fund 10174$ 10211$ (37)$

Research and Restricted Expenditures 684 684 -

Total Operating Expenditures 10858$ 10895$ (37)$

Net Gain(Loss) -$ -$ -$

UConn Health

Reductions in personnel costs and increased patient revenue offset State cuts

December 13 2017 23

Appendix

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

Balancing the Budget in FY18In order to achieve a balanced budget for FY18 the University has

bull Implemented significant University-wide spending cuts bull Enforced a prudent and strategic freeze on hiring bull Increased undergraduate enrollmentbull Enrolled more studentsbull Identified new revenue streams

bull Bookstore self-supporting programs etcbull Enhanced payments for physician servicesbull 340B retail pharmacy

bull Increased tuition (per four year plan)bull Identified and implemented efficienciesbull Deferred delayed or cancelled capital projects and deferred

maintenanceAdditional mid-year cuts would have serious implications for the entire UConn community

December 13 2017 5

Revised FY18 Spending Plan UConn and UConn Health Combined FY18 Spending Plan

Spending plan above includes $13255M for UConn Storrs and Regionals and $10895M for UConn Health

Appropriation 3090 Personal Services 8859 Fringe Benefits amp Adjustments 2415 Fringe Benefits 4835 Total State Support 5506$ Correctional Managed Health Care 804 Tuition 4184 DrugsMedical Supplies 852 Fees 1409 MedicalDental House Staff 542 Grants amp Contracts 1674 ServicesRepairMaintenance 1930 Auxiliary Enterprise Revenue 2201 Other Expenses 2214 InternsResidents 667 Student Financial Aid 1727 Net Patient Revenue 4827 Debt ServiceProjects 623 Correctional Managed Health Care 804 Total Operating Fund 22386$ Other Revenue 1135

Research Fund 1764 Total Operating Fund 22405$

Total Operating Expenditures 24150$ Research Fund 1750

Net GainLoss 06$ Total Current Funds Revenues 24156$

Expenditures ($M)Revenues ($M)

December 13 2017 6

Impact of Cuts to UConn

bull UConn has carefully and effectively managed its finances to balance the budget and maintain academic quality in the face of major reductions in State support and rising costs over the last few years The cuts in the biennium are significant and will impact every aspect of UConn

bull UConnrsquos goals are shifting from continuing to focus on protecting academic excellence delivering strong student support providing excellent patient care and supporting the research mission of the University to simply attempting to maintain our current position

bull Ongoing and mid-year cuts thwart our ability to forecast and plan effectively Continual significant cuts reduce the quality of the education UConn is able to offer and reduces the Universityrsquos ability to effectively contribute to the State and its economy

December 13 2017 7

UConn Successes At Risk

UConn successesbull Top 25 Public National University (18th) in US News and World Reportbull Opened new Downtown Hartford campus locationbull Decreased average time to degree to 42 years (4th among Peers)bull Increased number of class offerings by 33 bull Fall 2017 entering class included 81 valedictorians and 80 salutatorians

UConn Health successesbull Climbed to 56th in research and 34th in primary care categories in US News and

World Report rankingsbull ldquoArdquo rating for patient safety The Leapfrog Group 2015 2016 amp 2017bull Dental School received Geis Award for Excellencebull Increased average monthly emergency room visits to over 3000bull Expansion of programs including neurosurgery epilepsy monitoring unit sickle cell

and health disparities

The University has made significant gains and improved academic quality over the last several years These are now at risk due to the current fiscal climate and continual cuts

December 13 2017 8

Long Term Financial Challenges

UConn has carefully and effectively managed the budget despite deep cuts to the budget over the last few years Looking forward the University is facing troubling financial challenges and asks the State for stable funding

Some long term financial concerns includebull SEBAC provides a 55 increase in FY20 and FY21 which is

equivalent to $59M and $66M respectivelybull Fringe growth is projected to grow at 15 annually or $166M in

additional expenses per yearbull SEBAC provides a ldquono layoffrdquo provision Approximately 56 of

UConnrsquos costs are personnelbull Tuition Plan ends in FY20bull Patient revenues are unpredictable due to payor mix volume and

reimbursement rates

December 13 2017 9

Revised Spending PlanStorrs and Regionals

FY18 Budget Cuts

AppropriationFY 2017

Negotiated Budget FY18

102417

Negotiated Budget FY19

102417

TOTAL BIENNIUM CUT

Appropriation 229917913 199253349$ 196119593$ Fringe Reimbursement 158643360 139729547$ 135322519$ TOTAL STATE SUPPORT 388561273 338982896$ 331442112$

APPROPRIATION CUT (30664564)$ (33798320)$ (64462884)$ Associated fringe cut at 69 (in dollars) (18913813)$ $ (23320841) $ (42234654)TOTAL STATE SUPPORT CUT (49578377)$ (57119161)$ (106697538)$

TOTAL CUT (106697538)$ Cut -14

UCONN

Additional Lapses Salary (7922416)$ -4Fringe (5466467)$

(13388883)$

Storrs and Regionals

For Storrs and Regional Campuses the State budget represents a $107M cut in the biennium from the FY17 appropriation Additionally we received a $13M cut due to lapses

December 13 2017 11

Lapses = the amount of appropriation held back that is retained by OPM to achieve savings assumed in the overall State budget

Revised FY18 Spending Plan

Note Use of decimals may result in rounding differences

With a hiring freeze cost cutting new revenue streams and expense avoidance UConn projects a balanced budget for FY18 despite State cuts

Appropriation 1913 Personal Services 4947 Fringe Benefits amp Adjustments 1358 Fringe Benefits 2513 Total State Support 3272$ Other Expenses 2105 Tuition 3984 Energy 229 Fees 1365 Equipment 205 Grants amp Contracts 825 Student Financial Aid 1727 FoundationEndowment 210 Debt ServiceProjects 449 Sales amp Services 199 Total Operating Fund 12175$ Auxiliary Enterprise Revenue 2201 Other Revenue 139 Research Fund 1080

Total Operating Fund 12194$ Total Operating Expenditures 13255$

Research Fund 1066 Net GainLoss 06$

Total Current Funds Revenues 13261$

Revenues ($M) Expenditures ($M)

Storrs and Regionals

December 13 2017 12

State Appropriation

FY18 $1993

$160

$180

$200

$220

$240

$260

FY00 FY02 FY04 FY06 FY08 FY10 FY12 FY14 FY16 FY18

Allotment Appropriation $200M Baseline

(In Millions)

Allotment includes reductions due to lapses rescissions and deficit mitigation

UConnrsquos State Appropriation hasnrsquot dropped below $200M since 2004 With the lapses UConnrsquos allotment for FY18 is currently $191M

Storrs and Regionals

December 13 2017 13

UConn Growth Since 2004

Since 2004 UConn has increased

bull Enrollment by 5434 undergraduate and graduate students

bull Faculty count by 410

bull US News and World Report ranking from 25 to 18

bull Applications up to 37000 for Fall 2017 an increase of 97

bull Institutional financial aid by $902M

bull Degrees awarded annually by 2521

Storrs and Regionals

December 13 2017 14

FY18 Comparison

Note Use of decimals may result in rounding differences

Increased enrollment gains in other revenue sources hiring freeze restricted spending and reductions in capital projects and deferred maintenance helped offset State cuts

Storrs and Regionals

December 13 2017 15

FY18 Original BOT Budget

($M)

FY18 Revised Budget

($M)

Favorable (Unfavorable)

($M)Notes

Appropriation 2112 1913 (199) Revised State Appropriation Includes $79M in lapsesFringe Benefits amp Adjustments 1469 1358 (110) Fringe estimated at 71 Includes $55M in lapses Total State Support 3581$ 3272$ (309)$ Tuition 3901 3984 83 150 more students 352 additional international studentsFees 1348 1365 17 Increased enrollmentGrants amp Contracts 775 825 50 Increase in Pell funding and other scholarships from budgeted amount FoundationEndowment 195 210 15 Increased Foundation usage to offset cutsSales amp Services 183 199 16 Based on FY17 year end actuals and first quarter resultsAuxiliary Enterprise Revenue 2201 2201 - Housing Dining and Athletics are on targetOther Revenue 159 139 (20) Some shift to expense reduction revenues trending slightly downward

Total Operating Fund 12343$ 12194$ (149)$ Increase in revenue streams helps offset the State cuts

Research Fund 1066 1066 -

Total Current Funds Revenues 13410$ 13261$ (149)$

Personal Services 4962 4947 15 Additional hiring restrictions on top of budgeted personnel reductionsFringe Benefits 2483 2513 (30) Final FY18 fringe rates are higher than FY17 but lower than wo SEBACOther ExpensesEquipment 2338 2310 28 Cost cutting expense avoidance and careful spendingEnergy 249 229 20 Based on FY17 year-end actuals and first quarter resultsStudent Financial Aid 1659 1727 (67) Increase in Pell funding ($4M) and other scholarships Debt ServiceProjects 621 449 171 Reduction in capital projects and deferred maintenance

Total Operating Fund 12312$ 12175$ 137$

Research Fund 1080 1080 -

Total Current Funds Expenditures 13392$ 13255$ 137$

Net Gain(Loss) Loss 18$ 06$ (12)$

FY18 Revenue by CategoryState support is an important and significant piece of the budget however in FY18 tuition will be the largest revenue source at over 30 of total revenues

Note Use of decimals may result in rounding differences

Appropriation 1913 Fringe Benefits amp Adjustments 1358 Total State Support 3272$ Tuition 3984 Fees 1365 Grants amp Contracts 825 FoundationEndowment 210 Sales amp Services 199 Auxiliary Enterprise Revenue 2201 Other Revenue 139

Total Operating Fund 12194$

Research Fund 1066

Total Current Funds Revenues 13261$

Revenues ($M)

State Support247

Tuition300

Fees 103

Grants amp Contracts

62

Foundation 16Sales amp Services

15 Auxiliary Enterprise Revenue

166

Research Fund 78

Other Revenue

11

Storrs and Regionals

Tuition and Fees make up more than 40 of UConnrsquos budgeted revenues

December 13 2017 16

Tuition Revenue

FY17 was the first year that tuition surpassed State support as the largest revenue source The gap grows significantly in FY18 and FY19

$2461 $2599

$2698 $2904

$3197

$3534

$3775 $3984

$4220

$3290

$2824 $2885

$3081

$3507

$3845

$3740

$3272 $3314

$225

$260

$295

$330

$365

$400

$435

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18Budget

FY19Budget

State Support and Tuition Revenue

Tuition

State Support

$91M

Storrs and Regionals

UConn enrollment growth and increased rates have resulted in overall tuition revenue increases

December 13 2017 17

FY18 Expense by Category

Note Use of decimals may result in rounding differences

Salary and Fringe Benefits are the largest expense for the University at 563 of the total with Other Expenses accounting for 158 and Financial Aid at 13

Personal Services 4947 Fringe Benefits 2513 Other Expenses 2105 Energy 229 Equipment 205 Student Financial Aid 1727 Debt ServiceProjects 449 Total Operating Fund 12175$

Research Fund 1080

Total Operating Expenditures 13255$

Expenditures ($M)

Personal Services373

Fringe Benefits

190

Other Expenses

158

Energy17

Equipment15

Student Financial Aid

130

Debt ServiceProjects

34

Research Fund 81

Storrs and Regionals

Personnel costs represent more than 56 of the overall expense budget UConn will continue to restrict hiring and closely watch any spending to help maintain the balanced budget

December 13 2017 18

Rising Costs - Salary Expenses

Between FY11 and FY18 mandated salary increases due to union agreements cost UConn about $68M or 83 of the total salary growth

Other this category includes classified non-faculty professional (UCPEA) management confidential graduate assistant student amp special payroll

The majority of the growth in FY18 is due to graduate assistant contractual increases and additional police Per the SEBAC agreement FY18 includes no facultystaff salary increases

Salary Expenses ($M)

Storrs and Regionals

December 13 2017 19

$279 $272 $285 $305 $317 $326 $321 $320

$134 $143 $141$157 $166 $171 $175 $175

$0

$100

$200

$300

$400

$500

$600

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18

FacultyAAUP

Other

$413 $414

$496

$425$462 $483 $497 $495

Revised Spending PlanUConn Health

State Budget CutsUConn Health

Compared to the BOT approved budget in June the negotiated State budget is an overall cut of $111M

December 13 2017 21

Updated FY18 Spending Plan

(Cash Sources and Uses)

Appropriation 1177 Personal Services 3912 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Total State Support 2234$ Correctional Managed Health Care 804 Tuition 200 DrugsMedical Supplies 852 Fees 44 Other Expenses 2147 Grants amp Contracts 849 Debt ServiceProjects 174 InternsResidents 667 Total Operating Fund 10211$ Net Patient Revenue 4827 Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Other Revenue 586

Total Operating Fund 10211$ Total Operating Expenditures 10895$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$ Net Gain(Loss) -$

Revenues ($M) Expenditures ($M)

UConn Health

UConn Health has achieved a balanced budget by implementing spending cuts restricting hiring and identifying new revenue streams

December 13 2017 22

FY18 Comparison

(Cash Sources and Uses)FY18

Original BOT Budget ($M)

FY18 Revised

Budget ($M)

Favorable (Unfavorable)

($M) NotesAppropriation 1254 1177 (77) Reduction in workers compensation and lapsesFringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe ratesTotal State Support 2260$ 2234$ (26)$ Tuition 200 200 - Fees 44 44 - Grants amp Contracts 872 849 (23) First quarter resultsInternsResidents 667 667 - Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter resultsCorrectional Managed Health Care 804 804 - Other Revenue 576 586 10 First quarter results - retail pharmacy Total Operating Fund 10174$ 10211$ 37$

Research and Restricted Funds 684 684 -

Total Current Funds Revenues 10858$ 10895$ 37$

Personal Services 3896 3912 (16) Implementation of final SEBAC provisionsFringe Benefits 2288 2322 (34) Implementation of final SEBAC provisionsCorrectional Managed Health Care 804 804 - DrugsMedical Supplies 847 852 (05) First quarter resultsOther Expenses 2165 2147 18 First quarter resultsDebt ServiceProjects 174 174 (00) Total Operating Fund 10174$ 10211$ (37)$

Research and Restricted Expenditures 684 684 -

Total Operating Expenditures 10858$ 10895$ (37)$

Net Gain(Loss) -$ -$ -$

UConn Health

Reductions in personnel costs and increased patient revenue offset State cuts

December 13 2017 23

Appendix

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

Revised FY18 Spending Plan UConn and UConn Health Combined FY18 Spending Plan

Spending plan above includes $13255M for UConn Storrs and Regionals and $10895M for UConn Health

Appropriation 3090 Personal Services 8859 Fringe Benefits amp Adjustments 2415 Fringe Benefits 4835 Total State Support 5506$ Correctional Managed Health Care 804 Tuition 4184 DrugsMedical Supplies 852 Fees 1409 MedicalDental House Staff 542 Grants amp Contracts 1674 ServicesRepairMaintenance 1930 Auxiliary Enterprise Revenue 2201 Other Expenses 2214 InternsResidents 667 Student Financial Aid 1727 Net Patient Revenue 4827 Debt ServiceProjects 623 Correctional Managed Health Care 804 Total Operating Fund 22386$ Other Revenue 1135

Research Fund 1764 Total Operating Fund 22405$

Total Operating Expenditures 24150$ Research Fund 1750

Net GainLoss 06$ Total Current Funds Revenues 24156$

Expenditures ($M)Revenues ($M)

December 13 2017 6

Impact of Cuts to UConn

bull UConn has carefully and effectively managed its finances to balance the budget and maintain academic quality in the face of major reductions in State support and rising costs over the last few years The cuts in the biennium are significant and will impact every aspect of UConn

bull UConnrsquos goals are shifting from continuing to focus on protecting academic excellence delivering strong student support providing excellent patient care and supporting the research mission of the University to simply attempting to maintain our current position

bull Ongoing and mid-year cuts thwart our ability to forecast and plan effectively Continual significant cuts reduce the quality of the education UConn is able to offer and reduces the Universityrsquos ability to effectively contribute to the State and its economy

December 13 2017 7

UConn Successes At Risk

UConn successesbull Top 25 Public National University (18th) in US News and World Reportbull Opened new Downtown Hartford campus locationbull Decreased average time to degree to 42 years (4th among Peers)bull Increased number of class offerings by 33 bull Fall 2017 entering class included 81 valedictorians and 80 salutatorians

UConn Health successesbull Climbed to 56th in research and 34th in primary care categories in US News and

World Report rankingsbull ldquoArdquo rating for patient safety The Leapfrog Group 2015 2016 amp 2017bull Dental School received Geis Award for Excellencebull Increased average monthly emergency room visits to over 3000bull Expansion of programs including neurosurgery epilepsy monitoring unit sickle cell

and health disparities

The University has made significant gains and improved academic quality over the last several years These are now at risk due to the current fiscal climate and continual cuts

December 13 2017 8

Long Term Financial Challenges

UConn has carefully and effectively managed the budget despite deep cuts to the budget over the last few years Looking forward the University is facing troubling financial challenges and asks the State for stable funding

Some long term financial concerns includebull SEBAC provides a 55 increase in FY20 and FY21 which is

equivalent to $59M and $66M respectivelybull Fringe growth is projected to grow at 15 annually or $166M in

additional expenses per yearbull SEBAC provides a ldquono layoffrdquo provision Approximately 56 of

UConnrsquos costs are personnelbull Tuition Plan ends in FY20bull Patient revenues are unpredictable due to payor mix volume and

reimbursement rates

December 13 2017 9

Revised Spending PlanStorrs and Regionals

FY18 Budget Cuts

AppropriationFY 2017

Negotiated Budget FY18

102417

Negotiated Budget FY19

102417

TOTAL BIENNIUM CUT

Appropriation 229917913 199253349$ 196119593$ Fringe Reimbursement 158643360 139729547$ 135322519$ TOTAL STATE SUPPORT 388561273 338982896$ 331442112$

APPROPRIATION CUT (30664564)$ (33798320)$ (64462884)$ Associated fringe cut at 69 (in dollars) (18913813)$ $ (23320841) $ (42234654)TOTAL STATE SUPPORT CUT (49578377)$ (57119161)$ (106697538)$

TOTAL CUT (106697538)$ Cut -14

UCONN

Additional Lapses Salary (7922416)$ -4Fringe (5466467)$

(13388883)$

Storrs and Regionals

For Storrs and Regional Campuses the State budget represents a $107M cut in the biennium from the FY17 appropriation Additionally we received a $13M cut due to lapses

December 13 2017 11

Lapses = the amount of appropriation held back that is retained by OPM to achieve savings assumed in the overall State budget

Revised FY18 Spending Plan

Note Use of decimals may result in rounding differences

With a hiring freeze cost cutting new revenue streams and expense avoidance UConn projects a balanced budget for FY18 despite State cuts

Appropriation 1913 Personal Services 4947 Fringe Benefits amp Adjustments 1358 Fringe Benefits 2513 Total State Support 3272$ Other Expenses 2105 Tuition 3984 Energy 229 Fees 1365 Equipment 205 Grants amp Contracts 825 Student Financial Aid 1727 FoundationEndowment 210 Debt ServiceProjects 449 Sales amp Services 199 Total Operating Fund 12175$ Auxiliary Enterprise Revenue 2201 Other Revenue 139 Research Fund 1080

Total Operating Fund 12194$ Total Operating Expenditures 13255$

Research Fund 1066 Net GainLoss 06$

Total Current Funds Revenues 13261$

Revenues ($M) Expenditures ($M)

Storrs and Regionals

December 13 2017 12

State Appropriation

FY18 $1993

$160

$180

$200

$220

$240

$260

FY00 FY02 FY04 FY06 FY08 FY10 FY12 FY14 FY16 FY18

Allotment Appropriation $200M Baseline

(In Millions)

Allotment includes reductions due to lapses rescissions and deficit mitigation

UConnrsquos State Appropriation hasnrsquot dropped below $200M since 2004 With the lapses UConnrsquos allotment for FY18 is currently $191M

Storrs and Regionals

December 13 2017 13

UConn Growth Since 2004

Since 2004 UConn has increased

bull Enrollment by 5434 undergraduate and graduate students

bull Faculty count by 410

bull US News and World Report ranking from 25 to 18

bull Applications up to 37000 for Fall 2017 an increase of 97

bull Institutional financial aid by $902M

bull Degrees awarded annually by 2521

Storrs and Regionals

December 13 2017 14

FY18 Comparison

Note Use of decimals may result in rounding differences

Increased enrollment gains in other revenue sources hiring freeze restricted spending and reductions in capital projects and deferred maintenance helped offset State cuts

Storrs and Regionals

December 13 2017 15

FY18 Original BOT Budget

($M)

FY18 Revised Budget

($M)

Favorable (Unfavorable)

($M)Notes

Appropriation 2112 1913 (199) Revised State Appropriation Includes $79M in lapsesFringe Benefits amp Adjustments 1469 1358 (110) Fringe estimated at 71 Includes $55M in lapses Total State Support 3581$ 3272$ (309)$ Tuition 3901 3984 83 150 more students 352 additional international studentsFees 1348 1365 17 Increased enrollmentGrants amp Contracts 775 825 50 Increase in Pell funding and other scholarships from budgeted amount FoundationEndowment 195 210 15 Increased Foundation usage to offset cutsSales amp Services 183 199 16 Based on FY17 year end actuals and first quarter resultsAuxiliary Enterprise Revenue 2201 2201 - Housing Dining and Athletics are on targetOther Revenue 159 139 (20) Some shift to expense reduction revenues trending slightly downward

Total Operating Fund 12343$ 12194$ (149)$ Increase in revenue streams helps offset the State cuts

Research Fund 1066 1066 -

Total Current Funds Revenues 13410$ 13261$ (149)$

Personal Services 4962 4947 15 Additional hiring restrictions on top of budgeted personnel reductionsFringe Benefits 2483 2513 (30) Final FY18 fringe rates are higher than FY17 but lower than wo SEBACOther ExpensesEquipment 2338 2310 28 Cost cutting expense avoidance and careful spendingEnergy 249 229 20 Based on FY17 year-end actuals and first quarter resultsStudent Financial Aid 1659 1727 (67) Increase in Pell funding ($4M) and other scholarships Debt ServiceProjects 621 449 171 Reduction in capital projects and deferred maintenance

Total Operating Fund 12312$ 12175$ 137$

Research Fund 1080 1080 -

Total Current Funds Expenditures 13392$ 13255$ 137$

Net Gain(Loss) Loss 18$ 06$ (12)$

FY18 Revenue by CategoryState support is an important and significant piece of the budget however in FY18 tuition will be the largest revenue source at over 30 of total revenues

Note Use of decimals may result in rounding differences

Appropriation 1913 Fringe Benefits amp Adjustments 1358 Total State Support 3272$ Tuition 3984 Fees 1365 Grants amp Contracts 825 FoundationEndowment 210 Sales amp Services 199 Auxiliary Enterprise Revenue 2201 Other Revenue 139

Total Operating Fund 12194$

Research Fund 1066

Total Current Funds Revenues 13261$

Revenues ($M)

State Support247

Tuition300

Fees 103

Grants amp Contracts

62

Foundation 16Sales amp Services

15 Auxiliary Enterprise Revenue

166

Research Fund 78

Other Revenue

11

Storrs and Regionals

Tuition and Fees make up more than 40 of UConnrsquos budgeted revenues

December 13 2017 16

Tuition Revenue

FY17 was the first year that tuition surpassed State support as the largest revenue source The gap grows significantly in FY18 and FY19

$2461 $2599

$2698 $2904

$3197

$3534

$3775 $3984

$4220

$3290

$2824 $2885

$3081

$3507

$3845

$3740

$3272 $3314

$225

$260

$295

$330

$365

$400

$435

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18Budget

FY19Budget

State Support and Tuition Revenue

Tuition

State Support

$91M

Storrs and Regionals

UConn enrollment growth and increased rates have resulted in overall tuition revenue increases

December 13 2017 17

FY18 Expense by Category

Note Use of decimals may result in rounding differences

Salary and Fringe Benefits are the largest expense for the University at 563 of the total with Other Expenses accounting for 158 and Financial Aid at 13

Personal Services 4947 Fringe Benefits 2513 Other Expenses 2105 Energy 229 Equipment 205 Student Financial Aid 1727 Debt ServiceProjects 449 Total Operating Fund 12175$

Research Fund 1080

Total Operating Expenditures 13255$

Expenditures ($M)

Personal Services373

Fringe Benefits

190

Other Expenses

158

Energy17

Equipment15

Student Financial Aid

130

Debt ServiceProjects

34

Research Fund 81

Storrs and Regionals

Personnel costs represent more than 56 of the overall expense budget UConn will continue to restrict hiring and closely watch any spending to help maintain the balanced budget

December 13 2017 18

Rising Costs - Salary Expenses

Between FY11 and FY18 mandated salary increases due to union agreements cost UConn about $68M or 83 of the total salary growth

Other this category includes classified non-faculty professional (UCPEA) management confidential graduate assistant student amp special payroll

The majority of the growth in FY18 is due to graduate assistant contractual increases and additional police Per the SEBAC agreement FY18 includes no facultystaff salary increases

Salary Expenses ($M)

Storrs and Regionals

December 13 2017 19

$279 $272 $285 $305 $317 $326 $321 $320

$134 $143 $141$157 $166 $171 $175 $175

$0

$100

$200

$300

$400

$500

$600

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18

FacultyAAUP

Other

$413 $414

$496

$425$462 $483 $497 $495

Revised Spending PlanUConn Health

State Budget CutsUConn Health

Compared to the BOT approved budget in June the negotiated State budget is an overall cut of $111M

December 13 2017 21

Updated FY18 Spending Plan

(Cash Sources and Uses)

Appropriation 1177 Personal Services 3912 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Total State Support 2234$ Correctional Managed Health Care 804 Tuition 200 DrugsMedical Supplies 852 Fees 44 Other Expenses 2147 Grants amp Contracts 849 Debt ServiceProjects 174 InternsResidents 667 Total Operating Fund 10211$ Net Patient Revenue 4827 Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Other Revenue 586

Total Operating Fund 10211$ Total Operating Expenditures 10895$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$ Net Gain(Loss) -$

Revenues ($M) Expenditures ($M)

UConn Health

UConn Health has achieved a balanced budget by implementing spending cuts restricting hiring and identifying new revenue streams

December 13 2017 22

FY18 Comparison

(Cash Sources and Uses)FY18

Original BOT Budget ($M)

FY18 Revised

Budget ($M)

Favorable (Unfavorable)

($M) NotesAppropriation 1254 1177 (77) Reduction in workers compensation and lapsesFringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe ratesTotal State Support 2260$ 2234$ (26)$ Tuition 200 200 - Fees 44 44 - Grants amp Contracts 872 849 (23) First quarter resultsInternsResidents 667 667 - Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter resultsCorrectional Managed Health Care 804 804 - Other Revenue 576 586 10 First quarter results - retail pharmacy Total Operating Fund 10174$ 10211$ 37$

Research and Restricted Funds 684 684 -

Total Current Funds Revenues 10858$ 10895$ 37$

Personal Services 3896 3912 (16) Implementation of final SEBAC provisionsFringe Benefits 2288 2322 (34) Implementation of final SEBAC provisionsCorrectional Managed Health Care 804 804 - DrugsMedical Supplies 847 852 (05) First quarter resultsOther Expenses 2165 2147 18 First quarter resultsDebt ServiceProjects 174 174 (00) Total Operating Fund 10174$ 10211$ (37)$

Research and Restricted Expenditures 684 684 -

Total Operating Expenditures 10858$ 10895$ (37)$

Net Gain(Loss) -$ -$ -$

UConn Health

Reductions in personnel costs and increased patient revenue offset State cuts

December 13 2017 23

Appendix

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

Impact of Cuts to UConn

bull UConn has carefully and effectively managed its finances to balance the budget and maintain academic quality in the face of major reductions in State support and rising costs over the last few years The cuts in the biennium are significant and will impact every aspect of UConn

bull UConnrsquos goals are shifting from continuing to focus on protecting academic excellence delivering strong student support providing excellent patient care and supporting the research mission of the University to simply attempting to maintain our current position

bull Ongoing and mid-year cuts thwart our ability to forecast and plan effectively Continual significant cuts reduce the quality of the education UConn is able to offer and reduces the Universityrsquos ability to effectively contribute to the State and its economy

December 13 2017 7

UConn Successes At Risk

UConn successesbull Top 25 Public National University (18th) in US News and World Reportbull Opened new Downtown Hartford campus locationbull Decreased average time to degree to 42 years (4th among Peers)bull Increased number of class offerings by 33 bull Fall 2017 entering class included 81 valedictorians and 80 salutatorians

UConn Health successesbull Climbed to 56th in research and 34th in primary care categories in US News and

World Report rankingsbull ldquoArdquo rating for patient safety The Leapfrog Group 2015 2016 amp 2017bull Dental School received Geis Award for Excellencebull Increased average monthly emergency room visits to over 3000bull Expansion of programs including neurosurgery epilepsy monitoring unit sickle cell

and health disparities

The University has made significant gains and improved academic quality over the last several years These are now at risk due to the current fiscal climate and continual cuts

December 13 2017 8

Long Term Financial Challenges

UConn has carefully and effectively managed the budget despite deep cuts to the budget over the last few years Looking forward the University is facing troubling financial challenges and asks the State for stable funding

Some long term financial concerns includebull SEBAC provides a 55 increase in FY20 and FY21 which is

equivalent to $59M and $66M respectivelybull Fringe growth is projected to grow at 15 annually or $166M in

additional expenses per yearbull SEBAC provides a ldquono layoffrdquo provision Approximately 56 of

UConnrsquos costs are personnelbull Tuition Plan ends in FY20bull Patient revenues are unpredictable due to payor mix volume and

reimbursement rates

December 13 2017 9

Revised Spending PlanStorrs and Regionals

FY18 Budget Cuts

AppropriationFY 2017

Negotiated Budget FY18

102417

Negotiated Budget FY19

102417

TOTAL BIENNIUM CUT

Appropriation 229917913 199253349$ 196119593$ Fringe Reimbursement 158643360 139729547$ 135322519$ TOTAL STATE SUPPORT 388561273 338982896$ 331442112$

APPROPRIATION CUT (30664564)$ (33798320)$ (64462884)$ Associated fringe cut at 69 (in dollars) (18913813)$ $ (23320841) $ (42234654)TOTAL STATE SUPPORT CUT (49578377)$ (57119161)$ (106697538)$

TOTAL CUT (106697538)$ Cut -14

UCONN

Additional Lapses Salary (7922416)$ -4Fringe (5466467)$

(13388883)$

Storrs and Regionals

For Storrs and Regional Campuses the State budget represents a $107M cut in the biennium from the FY17 appropriation Additionally we received a $13M cut due to lapses

December 13 2017 11

Lapses = the amount of appropriation held back that is retained by OPM to achieve savings assumed in the overall State budget

Revised FY18 Spending Plan

Note Use of decimals may result in rounding differences

With a hiring freeze cost cutting new revenue streams and expense avoidance UConn projects a balanced budget for FY18 despite State cuts

Appropriation 1913 Personal Services 4947 Fringe Benefits amp Adjustments 1358 Fringe Benefits 2513 Total State Support 3272$ Other Expenses 2105 Tuition 3984 Energy 229 Fees 1365 Equipment 205 Grants amp Contracts 825 Student Financial Aid 1727 FoundationEndowment 210 Debt ServiceProjects 449 Sales amp Services 199 Total Operating Fund 12175$ Auxiliary Enterprise Revenue 2201 Other Revenue 139 Research Fund 1080

Total Operating Fund 12194$ Total Operating Expenditures 13255$

Research Fund 1066 Net GainLoss 06$

Total Current Funds Revenues 13261$

Revenues ($M) Expenditures ($M)

Storrs and Regionals

December 13 2017 12

State Appropriation

FY18 $1993

$160

$180

$200

$220

$240

$260

FY00 FY02 FY04 FY06 FY08 FY10 FY12 FY14 FY16 FY18

Allotment Appropriation $200M Baseline

(In Millions)

Allotment includes reductions due to lapses rescissions and deficit mitigation

UConnrsquos State Appropriation hasnrsquot dropped below $200M since 2004 With the lapses UConnrsquos allotment for FY18 is currently $191M

Storrs and Regionals

December 13 2017 13

UConn Growth Since 2004

Since 2004 UConn has increased

bull Enrollment by 5434 undergraduate and graduate students

bull Faculty count by 410

bull US News and World Report ranking from 25 to 18

bull Applications up to 37000 for Fall 2017 an increase of 97

bull Institutional financial aid by $902M

bull Degrees awarded annually by 2521

Storrs and Regionals

December 13 2017 14

FY18 Comparison

Note Use of decimals may result in rounding differences

Increased enrollment gains in other revenue sources hiring freeze restricted spending and reductions in capital projects and deferred maintenance helped offset State cuts

Storrs and Regionals

December 13 2017 15

FY18 Original BOT Budget

($M)

FY18 Revised Budget

($M)

Favorable (Unfavorable)

($M)Notes

Appropriation 2112 1913 (199) Revised State Appropriation Includes $79M in lapsesFringe Benefits amp Adjustments 1469 1358 (110) Fringe estimated at 71 Includes $55M in lapses Total State Support 3581$ 3272$ (309)$ Tuition 3901 3984 83 150 more students 352 additional international studentsFees 1348 1365 17 Increased enrollmentGrants amp Contracts 775 825 50 Increase in Pell funding and other scholarships from budgeted amount FoundationEndowment 195 210 15 Increased Foundation usage to offset cutsSales amp Services 183 199 16 Based on FY17 year end actuals and first quarter resultsAuxiliary Enterprise Revenue 2201 2201 - Housing Dining and Athletics are on targetOther Revenue 159 139 (20) Some shift to expense reduction revenues trending slightly downward

Total Operating Fund 12343$ 12194$ (149)$ Increase in revenue streams helps offset the State cuts

Research Fund 1066 1066 -

Total Current Funds Revenues 13410$ 13261$ (149)$

Personal Services 4962 4947 15 Additional hiring restrictions on top of budgeted personnel reductionsFringe Benefits 2483 2513 (30) Final FY18 fringe rates are higher than FY17 but lower than wo SEBACOther ExpensesEquipment 2338 2310 28 Cost cutting expense avoidance and careful spendingEnergy 249 229 20 Based on FY17 year-end actuals and first quarter resultsStudent Financial Aid 1659 1727 (67) Increase in Pell funding ($4M) and other scholarships Debt ServiceProjects 621 449 171 Reduction in capital projects and deferred maintenance

Total Operating Fund 12312$ 12175$ 137$

Research Fund 1080 1080 -

Total Current Funds Expenditures 13392$ 13255$ 137$

Net Gain(Loss) Loss 18$ 06$ (12)$

FY18 Revenue by CategoryState support is an important and significant piece of the budget however in FY18 tuition will be the largest revenue source at over 30 of total revenues

Note Use of decimals may result in rounding differences

Appropriation 1913 Fringe Benefits amp Adjustments 1358 Total State Support 3272$ Tuition 3984 Fees 1365 Grants amp Contracts 825 FoundationEndowment 210 Sales amp Services 199 Auxiliary Enterprise Revenue 2201 Other Revenue 139

Total Operating Fund 12194$

Research Fund 1066

Total Current Funds Revenues 13261$

Revenues ($M)

State Support247

Tuition300

Fees 103

Grants amp Contracts

62

Foundation 16Sales amp Services

15 Auxiliary Enterprise Revenue

166

Research Fund 78

Other Revenue

11

Storrs and Regionals

Tuition and Fees make up more than 40 of UConnrsquos budgeted revenues

December 13 2017 16

Tuition Revenue

FY17 was the first year that tuition surpassed State support as the largest revenue source The gap grows significantly in FY18 and FY19

$2461 $2599

$2698 $2904

$3197

$3534

$3775 $3984

$4220

$3290

$2824 $2885

$3081

$3507

$3845

$3740

$3272 $3314

$225

$260

$295

$330

$365

$400

$435

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18Budget

FY19Budget

State Support and Tuition Revenue

Tuition

State Support

$91M

Storrs and Regionals

UConn enrollment growth and increased rates have resulted in overall tuition revenue increases

December 13 2017 17

FY18 Expense by Category

Note Use of decimals may result in rounding differences

Salary and Fringe Benefits are the largest expense for the University at 563 of the total with Other Expenses accounting for 158 and Financial Aid at 13

Personal Services 4947 Fringe Benefits 2513 Other Expenses 2105 Energy 229 Equipment 205 Student Financial Aid 1727 Debt ServiceProjects 449 Total Operating Fund 12175$

Research Fund 1080

Total Operating Expenditures 13255$

Expenditures ($M)

Personal Services373

Fringe Benefits

190

Other Expenses

158

Energy17

Equipment15

Student Financial Aid

130

Debt ServiceProjects

34

Research Fund 81

Storrs and Regionals

Personnel costs represent more than 56 of the overall expense budget UConn will continue to restrict hiring and closely watch any spending to help maintain the balanced budget

December 13 2017 18

Rising Costs - Salary Expenses

Between FY11 and FY18 mandated salary increases due to union agreements cost UConn about $68M or 83 of the total salary growth

Other this category includes classified non-faculty professional (UCPEA) management confidential graduate assistant student amp special payroll

The majority of the growth in FY18 is due to graduate assistant contractual increases and additional police Per the SEBAC agreement FY18 includes no facultystaff salary increases

Salary Expenses ($M)

Storrs and Regionals

December 13 2017 19

$279 $272 $285 $305 $317 $326 $321 $320

$134 $143 $141$157 $166 $171 $175 $175

$0

$100

$200

$300

$400

$500

$600

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18

FacultyAAUP

Other

$413 $414

$496

$425$462 $483 $497 $495

Revised Spending PlanUConn Health

State Budget CutsUConn Health

Compared to the BOT approved budget in June the negotiated State budget is an overall cut of $111M

December 13 2017 21

Updated FY18 Spending Plan

(Cash Sources and Uses)

Appropriation 1177 Personal Services 3912 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Total State Support 2234$ Correctional Managed Health Care 804 Tuition 200 DrugsMedical Supplies 852 Fees 44 Other Expenses 2147 Grants amp Contracts 849 Debt ServiceProjects 174 InternsResidents 667 Total Operating Fund 10211$ Net Patient Revenue 4827 Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Other Revenue 586

Total Operating Fund 10211$ Total Operating Expenditures 10895$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$ Net Gain(Loss) -$

Revenues ($M) Expenditures ($M)

UConn Health

UConn Health has achieved a balanced budget by implementing spending cuts restricting hiring and identifying new revenue streams

December 13 2017 22

FY18 Comparison

(Cash Sources and Uses)FY18

Original BOT Budget ($M)

FY18 Revised

Budget ($M)

Favorable (Unfavorable)

($M) NotesAppropriation 1254 1177 (77) Reduction in workers compensation and lapsesFringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe ratesTotal State Support 2260$ 2234$ (26)$ Tuition 200 200 - Fees 44 44 - Grants amp Contracts 872 849 (23) First quarter resultsInternsResidents 667 667 - Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter resultsCorrectional Managed Health Care 804 804 - Other Revenue 576 586 10 First quarter results - retail pharmacy Total Operating Fund 10174$ 10211$ 37$

Research and Restricted Funds 684 684 -

Total Current Funds Revenues 10858$ 10895$ 37$

Personal Services 3896 3912 (16) Implementation of final SEBAC provisionsFringe Benefits 2288 2322 (34) Implementation of final SEBAC provisionsCorrectional Managed Health Care 804 804 - DrugsMedical Supplies 847 852 (05) First quarter resultsOther Expenses 2165 2147 18 First quarter resultsDebt ServiceProjects 174 174 (00) Total Operating Fund 10174$ 10211$ (37)$

Research and Restricted Expenditures 684 684 -

Total Operating Expenditures 10858$ 10895$ (37)$

Net Gain(Loss) -$ -$ -$

UConn Health

Reductions in personnel costs and increased patient revenue offset State cuts

December 13 2017 23

Appendix

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

UConn Successes At Risk

UConn successesbull Top 25 Public National University (18th) in US News and World Reportbull Opened new Downtown Hartford campus locationbull Decreased average time to degree to 42 years (4th among Peers)bull Increased number of class offerings by 33 bull Fall 2017 entering class included 81 valedictorians and 80 salutatorians

UConn Health successesbull Climbed to 56th in research and 34th in primary care categories in US News and

World Report rankingsbull ldquoArdquo rating for patient safety The Leapfrog Group 2015 2016 amp 2017bull Dental School received Geis Award for Excellencebull Increased average monthly emergency room visits to over 3000bull Expansion of programs including neurosurgery epilepsy monitoring unit sickle cell

and health disparities

The University has made significant gains and improved academic quality over the last several years These are now at risk due to the current fiscal climate and continual cuts

December 13 2017 8

Long Term Financial Challenges

UConn has carefully and effectively managed the budget despite deep cuts to the budget over the last few years Looking forward the University is facing troubling financial challenges and asks the State for stable funding

Some long term financial concerns includebull SEBAC provides a 55 increase in FY20 and FY21 which is

equivalent to $59M and $66M respectivelybull Fringe growth is projected to grow at 15 annually or $166M in

additional expenses per yearbull SEBAC provides a ldquono layoffrdquo provision Approximately 56 of

UConnrsquos costs are personnelbull Tuition Plan ends in FY20bull Patient revenues are unpredictable due to payor mix volume and

reimbursement rates

December 13 2017 9

Revised Spending PlanStorrs and Regionals

FY18 Budget Cuts

AppropriationFY 2017

Negotiated Budget FY18

102417

Negotiated Budget FY19

102417

TOTAL BIENNIUM CUT

Appropriation 229917913 199253349$ 196119593$ Fringe Reimbursement 158643360 139729547$ 135322519$ TOTAL STATE SUPPORT 388561273 338982896$ 331442112$

APPROPRIATION CUT (30664564)$ (33798320)$ (64462884)$ Associated fringe cut at 69 (in dollars) (18913813)$ $ (23320841) $ (42234654)TOTAL STATE SUPPORT CUT (49578377)$ (57119161)$ (106697538)$

TOTAL CUT (106697538)$ Cut -14

UCONN

Additional Lapses Salary (7922416)$ -4Fringe (5466467)$

(13388883)$

Storrs and Regionals

For Storrs and Regional Campuses the State budget represents a $107M cut in the biennium from the FY17 appropriation Additionally we received a $13M cut due to lapses

December 13 2017 11

Lapses = the amount of appropriation held back that is retained by OPM to achieve savings assumed in the overall State budget

Revised FY18 Spending Plan

Note Use of decimals may result in rounding differences

With a hiring freeze cost cutting new revenue streams and expense avoidance UConn projects a balanced budget for FY18 despite State cuts

Appropriation 1913 Personal Services 4947 Fringe Benefits amp Adjustments 1358 Fringe Benefits 2513 Total State Support 3272$ Other Expenses 2105 Tuition 3984 Energy 229 Fees 1365 Equipment 205 Grants amp Contracts 825 Student Financial Aid 1727 FoundationEndowment 210 Debt ServiceProjects 449 Sales amp Services 199 Total Operating Fund 12175$ Auxiliary Enterprise Revenue 2201 Other Revenue 139 Research Fund 1080

Total Operating Fund 12194$ Total Operating Expenditures 13255$

Research Fund 1066 Net GainLoss 06$

Total Current Funds Revenues 13261$

Revenues ($M) Expenditures ($M)

Storrs and Regionals

December 13 2017 12

State Appropriation

FY18 $1993

$160

$180

$200

$220

$240

$260

FY00 FY02 FY04 FY06 FY08 FY10 FY12 FY14 FY16 FY18

Allotment Appropriation $200M Baseline

(In Millions)

Allotment includes reductions due to lapses rescissions and deficit mitigation

UConnrsquos State Appropriation hasnrsquot dropped below $200M since 2004 With the lapses UConnrsquos allotment for FY18 is currently $191M

Storrs and Regionals

December 13 2017 13

UConn Growth Since 2004

Since 2004 UConn has increased

bull Enrollment by 5434 undergraduate and graduate students

bull Faculty count by 410

bull US News and World Report ranking from 25 to 18

bull Applications up to 37000 for Fall 2017 an increase of 97

bull Institutional financial aid by $902M

bull Degrees awarded annually by 2521

Storrs and Regionals

December 13 2017 14

FY18 Comparison

Note Use of decimals may result in rounding differences

Increased enrollment gains in other revenue sources hiring freeze restricted spending and reductions in capital projects and deferred maintenance helped offset State cuts

Storrs and Regionals

December 13 2017 15

FY18 Original BOT Budget

($M)

FY18 Revised Budget

($M)

Favorable (Unfavorable)

($M)Notes

Appropriation 2112 1913 (199) Revised State Appropriation Includes $79M in lapsesFringe Benefits amp Adjustments 1469 1358 (110) Fringe estimated at 71 Includes $55M in lapses Total State Support 3581$ 3272$ (309)$ Tuition 3901 3984 83 150 more students 352 additional international studentsFees 1348 1365 17 Increased enrollmentGrants amp Contracts 775 825 50 Increase in Pell funding and other scholarships from budgeted amount FoundationEndowment 195 210 15 Increased Foundation usage to offset cutsSales amp Services 183 199 16 Based on FY17 year end actuals and first quarter resultsAuxiliary Enterprise Revenue 2201 2201 - Housing Dining and Athletics are on targetOther Revenue 159 139 (20) Some shift to expense reduction revenues trending slightly downward

Total Operating Fund 12343$ 12194$ (149)$ Increase in revenue streams helps offset the State cuts

Research Fund 1066 1066 -

Total Current Funds Revenues 13410$ 13261$ (149)$

Personal Services 4962 4947 15 Additional hiring restrictions on top of budgeted personnel reductionsFringe Benefits 2483 2513 (30) Final FY18 fringe rates are higher than FY17 but lower than wo SEBACOther ExpensesEquipment 2338 2310 28 Cost cutting expense avoidance and careful spendingEnergy 249 229 20 Based on FY17 year-end actuals and first quarter resultsStudent Financial Aid 1659 1727 (67) Increase in Pell funding ($4M) and other scholarships Debt ServiceProjects 621 449 171 Reduction in capital projects and deferred maintenance

Total Operating Fund 12312$ 12175$ 137$

Research Fund 1080 1080 -

Total Current Funds Expenditures 13392$ 13255$ 137$

Net Gain(Loss) Loss 18$ 06$ (12)$

FY18 Revenue by CategoryState support is an important and significant piece of the budget however in FY18 tuition will be the largest revenue source at over 30 of total revenues

Note Use of decimals may result in rounding differences

Appropriation 1913 Fringe Benefits amp Adjustments 1358 Total State Support 3272$ Tuition 3984 Fees 1365 Grants amp Contracts 825 FoundationEndowment 210 Sales amp Services 199 Auxiliary Enterprise Revenue 2201 Other Revenue 139

Total Operating Fund 12194$

Research Fund 1066

Total Current Funds Revenues 13261$

Revenues ($M)

State Support247

Tuition300

Fees 103

Grants amp Contracts

62

Foundation 16Sales amp Services

15 Auxiliary Enterprise Revenue

166

Research Fund 78

Other Revenue

11

Storrs and Regionals

Tuition and Fees make up more than 40 of UConnrsquos budgeted revenues

December 13 2017 16

Tuition Revenue

FY17 was the first year that tuition surpassed State support as the largest revenue source The gap grows significantly in FY18 and FY19

$2461 $2599

$2698 $2904

$3197

$3534

$3775 $3984

$4220

$3290

$2824 $2885

$3081

$3507

$3845

$3740

$3272 $3314

$225

$260

$295

$330

$365

$400

$435

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18Budget

FY19Budget

State Support and Tuition Revenue

Tuition

State Support

$91M

Storrs and Regionals

UConn enrollment growth and increased rates have resulted in overall tuition revenue increases

December 13 2017 17

FY18 Expense by Category

Note Use of decimals may result in rounding differences

Salary and Fringe Benefits are the largest expense for the University at 563 of the total with Other Expenses accounting for 158 and Financial Aid at 13

Personal Services 4947 Fringe Benefits 2513 Other Expenses 2105 Energy 229 Equipment 205 Student Financial Aid 1727 Debt ServiceProjects 449 Total Operating Fund 12175$

Research Fund 1080

Total Operating Expenditures 13255$

Expenditures ($M)

Personal Services373

Fringe Benefits

190

Other Expenses

158

Energy17

Equipment15

Student Financial Aid

130

Debt ServiceProjects

34

Research Fund 81

Storrs and Regionals

Personnel costs represent more than 56 of the overall expense budget UConn will continue to restrict hiring and closely watch any spending to help maintain the balanced budget

December 13 2017 18

Rising Costs - Salary Expenses

Between FY11 and FY18 mandated salary increases due to union agreements cost UConn about $68M or 83 of the total salary growth

Other this category includes classified non-faculty professional (UCPEA) management confidential graduate assistant student amp special payroll

The majority of the growth in FY18 is due to graduate assistant contractual increases and additional police Per the SEBAC agreement FY18 includes no facultystaff salary increases

Salary Expenses ($M)

Storrs and Regionals

December 13 2017 19

$279 $272 $285 $305 $317 $326 $321 $320

$134 $143 $141$157 $166 $171 $175 $175

$0

$100

$200

$300

$400

$500

$600

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18

FacultyAAUP

Other

$413 $414

$496

$425$462 $483 $497 $495

Revised Spending PlanUConn Health

State Budget CutsUConn Health

Compared to the BOT approved budget in June the negotiated State budget is an overall cut of $111M

December 13 2017 21

Updated FY18 Spending Plan

(Cash Sources and Uses)

Appropriation 1177 Personal Services 3912 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Total State Support 2234$ Correctional Managed Health Care 804 Tuition 200 DrugsMedical Supplies 852 Fees 44 Other Expenses 2147 Grants amp Contracts 849 Debt ServiceProjects 174 InternsResidents 667 Total Operating Fund 10211$ Net Patient Revenue 4827 Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Other Revenue 586

Total Operating Fund 10211$ Total Operating Expenditures 10895$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$ Net Gain(Loss) -$

Revenues ($M) Expenditures ($M)

UConn Health

UConn Health has achieved a balanced budget by implementing spending cuts restricting hiring and identifying new revenue streams

December 13 2017 22

FY18 Comparison

(Cash Sources and Uses)FY18

Original BOT Budget ($M)

FY18 Revised

Budget ($M)

Favorable (Unfavorable)

($M) NotesAppropriation 1254 1177 (77) Reduction in workers compensation and lapsesFringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe ratesTotal State Support 2260$ 2234$ (26)$ Tuition 200 200 - Fees 44 44 - Grants amp Contracts 872 849 (23) First quarter resultsInternsResidents 667 667 - Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter resultsCorrectional Managed Health Care 804 804 - Other Revenue 576 586 10 First quarter results - retail pharmacy Total Operating Fund 10174$ 10211$ 37$

Research and Restricted Funds 684 684 -

Total Current Funds Revenues 10858$ 10895$ 37$

Personal Services 3896 3912 (16) Implementation of final SEBAC provisionsFringe Benefits 2288 2322 (34) Implementation of final SEBAC provisionsCorrectional Managed Health Care 804 804 - DrugsMedical Supplies 847 852 (05) First quarter resultsOther Expenses 2165 2147 18 First quarter resultsDebt ServiceProjects 174 174 (00) Total Operating Fund 10174$ 10211$ (37)$

Research and Restricted Expenditures 684 684 -

Total Operating Expenditures 10858$ 10895$ (37)$

Net Gain(Loss) -$ -$ -$

UConn Health

Reductions in personnel costs and increased patient revenue offset State cuts

December 13 2017 23

Appendix

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

Long Term Financial Challenges

UConn has carefully and effectively managed the budget despite deep cuts to the budget over the last few years Looking forward the University is facing troubling financial challenges and asks the State for stable funding

Some long term financial concerns includebull SEBAC provides a 55 increase in FY20 and FY21 which is

equivalent to $59M and $66M respectivelybull Fringe growth is projected to grow at 15 annually or $166M in

additional expenses per yearbull SEBAC provides a ldquono layoffrdquo provision Approximately 56 of

UConnrsquos costs are personnelbull Tuition Plan ends in FY20bull Patient revenues are unpredictable due to payor mix volume and

reimbursement rates

December 13 2017 9

Revised Spending PlanStorrs and Regionals

FY18 Budget Cuts

AppropriationFY 2017

Negotiated Budget FY18

102417

Negotiated Budget FY19

102417

TOTAL BIENNIUM CUT

Appropriation 229917913 199253349$ 196119593$ Fringe Reimbursement 158643360 139729547$ 135322519$ TOTAL STATE SUPPORT 388561273 338982896$ 331442112$

APPROPRIATION CUT (30664564)$ (33798320)$ (64462884)$ Associated fringe cut at 69 (in dollars) (18913813)$ $ (23320841) $ (42234654)TOTAL STATE SUPPORT CUT (49578377)$ (57119161)$ (106697538)$

TOTAL CUT (106697538)$ Cut -14

UCONN

Additional Lapses Salary (7922416)$ -4Fringe (5466467)$

(13388883)$

Storrs and Regionals

For Storrs and Regional Campuses the State budget represents a $107M cut in the biennium from the FY17 appropriation Additionally we received a $13M cut due to lapses

December 13 2017 11

Lapses = the amount of appropriation held back that is retained by OPM to achieve savings assumed in the overall State budget

Revised FY18 Spending Plan

Note Use of decimals may result in rounding differences

With a hiring freeze cost cutting new revenue streams and expense avoidance UConn projects a balanced budget for FY18 despite State cuts

Appropriation 1913 Personal Services 4947 Fringe Benefits amp Adjustments 1358 Fringe Benefits 2513 Total State Support 3272$ Other Expenses 2105 Tuition 3984 Energy 229 Fees 1365 Equipment 205 Grants amp Contracts 825 Student Financial Aid 1727 FoundationEndowment 210 Debt ServiceProjects 449 Sales amp Services 199 Total Operating Fund 12175$ Auxiliary Enterprise Revenue 2201 Other Revenue 139 Research Fund 1080

Total Operating Fund 12194$ Total Operating Expenditures 13255$

Research Fund 1066 Net GainLoss 06$

Total Current Funds Revenues 13261$

Revenues ($M) Expenditures ($M)

Storrs and Regionals

December 13 2017 12

State Appropriation

FY18 $1993

$160

$180

$200

$220

$240

$260

FY00 FY02 FY04 FY06 FY08 FY10 FY12 FY14 FY16 FY18

Allotment Appropriation $200M Baseline

(In Millions)

Allotment includes reductions due to lapses rescissions and deficit mitigation

UConnrsquos State Appropriation hasnrsquot dropped below $200M since 2004 With the lapses UConnrsquos allotment for FY18 is currently $191M

Storrs and Regionals

December 13 2017 13

UConn Growth Since 2004

Since 2004 UConn has increased

bull Enrollment by 5434 undergraduate and graduate students

bull Faculty count by 410

bull US News and World Report ranking from 25 to 18

bull Applications up to 37000 for Fall 2017 an increase of 97

bull Institutional financial aid by $902M

bull Degrees awarded annually by 2521

Storrs and Regionals

December 13 2017 14

FY18 Comparison

Note Use of decimals may result in rounding differences

Increased enrollment gains in other revenue sources hiring freeze restricted spending and reductions in capital projects and deferred maintenance helped offset State cuts

Storrs and Regionals

December 13 2017 15

FY18 Original BOT Budget

($M)

FY18 Revised Budget

($M)

Favorable (Unfavorable)

($M)Notes

Appropriation 2112 1913 (199) Revised State Appropriation Includes $79M in lapsesFringe Benefits amp Adjustments 1469 1358 (110) Fringe estimated at 71 Includes $55M in lapses Total State Support 3581$ 3272$ (309)$ Tuition 3901 3984 83 150 more students 352 additional international studentsFees 1348 1365 17 Increased enrollmentGrants amp Contracts 775 825 50 Increase in Pell funding and other scholarships from budgeted amount FoundationEndowment 195 210 15 Increased Foundation usage to offset cutsSales amp Services 183 199 16 Based on FY17 year end actuals and first quarter resultsAuxiliary Enterprise Revenue 2201 2201 - Housing Dining and Athletics are on targetOther Revenue 159 139 (20) Some shift to expense reduction revenues trending slightly downward

Total Operating Fund 12343$ 12194$ (149)$ Increase in revenue streams helps offset the State cuts

Research Fund 1066 1066 -

Total Current Funds Revenues 13410$ 13261$ (149)$

Personal Services 4962 4947 15 Additional hiring restrictions on top of budgeted personnel reductionsFringe Benefits 2483 2513 (30) Final FY18 fringe rates are higher than FY17 but lower than wo SEBACOther ExpensesEquipment 2338 2310 28 Cost cutting expense avoidance and careful spendingEnergy 249 229 20 Based on FY17 year-end actuals and first quarter resultsStudent Financial Aid 1659 1727 (67) Increase in Pell funding ($4M) and other scholarships Debt ServiceProjects 621 449 171 Reduction in capital projects and deferred maintenance

Total Operating Fund 12312$ 12175$ 137$

Research Fund 1080 1080 -

Total Current Funds Expenditures 13392$ 13255$ 137$

Net Gain(Loss) Loss 18$ 06$ (12)$

FY18 Revenue by CategoryState support is an important and significant piece of the budget however in FY18 tuition will be the largest revenue source at over 30 of total revenues

Note Use of decimals may result in rounding differences

Appropriation 1913 Fringe Benefits amp Adjustments 1358 Total State Support 3272$ Tuition 3984 Fees 1365 Grants amp Contracts 825 FoundationEndowment 210 Sales amp Services 199 Auxiliary Enterprise Revenue 2201 Other Revenue 139

Total Operating Fund 12194$

Research Fund 1066

Total Current Funds Revenues 13261$

Revenues ($M)

State Support247

Tuition300

Fees 103

Grants amp Contracts

62

Foundation 16Sales amp Services

15 Auxiliary Enterprise Revenue

166

Research Fund 78

Other Revenue

11

Storrs and Regionals

Tuition and Fees make up more than 40 of UConnrsquos budgeted revenues

December 13 2017 16

Tuition Revenue

FY17 was the first year that tuition surpassed State support as the largest revenue source The gap grows significantly in FY18 and FY19

$2461 $2599

$2698 $2904

$3197

$3534

$3775 $3984

$4220

$3290

$2824 $2885

$3081

$3507

$3845

$3740

$3272 $3314

$225

$260

$295

$330

$365

$400

$435

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18Budget

FY19Budget

State Support and Tuition Revenue

Tuition

State Support

$91M

Storrs and Regionals

UConn enrollment growth and increased rates have resulted in overall tuition revenue increases

December 13 2017 17

FY18 Expense by Category

Note Use of decimals may result in rounding differences

Salary and Fringe Benefits are the largest expense for the University at 563 of the total with Other Expenses accounting for 158 and Financial Aid at 13

Personal Services 4947 Fringe Benefits 2513 Other Expenses 2105 Energy 229 Equipment 205 Student Financial Aid 1727 Debt ServiceProjects 449 Total Operating Fund 12175$

Research Fund 1080

Total Operating Expenditures 13255$

Expenditures ($M)

Personal Services373

Fringe Benefits

190

Other Expenses

158

Energy17

Equipment15

Student Financial Aid

130

Debt ServiceProjects

34

Research Fund 81

Storrs and Regionals

Personnel costs represent more than 56 of the overall expense budget UConn will continue to restrict hiring and closely watch any spending to help maintain the balanced budget

December 13 2017 18

Rising Costs - Salary Expenses

Between FY11 and FY18 mandated salary increases due to union agreements cost UConn about $68M or 83 of the total salary growth

Other this category includes classified non-faculty professional (UCPEA) management confidential graduate assistant student amp special payroll

The majority of the growth in FY18 is due to graduate assistant contractual increases and additional police Per the SEBAC agreement FY18 includes no facultystaff salary increases

Salary Expenses ($M)

Storrs and Regionals

December 13 2017 19

$279 $272 $285 $305 $317 $326 $321 $320

$134 $143 $141$157 $166 $171 $175 $175

$0

$100

$200

$300

$400

$500

$600

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18

FacultyAAUP

Other

$413 $414

$496

$425$462 $483 $497 $495

Revised Spending PlanUConn Health

State Budget CutsUConn Health

Compared to the BOT approved budget in June the negotiated State budget is an overall cut of $111M

December 13 2017 21

Updated FY18 Spending Plan

(Cash Sources and Uses)

Appropriation 1177 Personal Services 3912 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Total State Support 2234$ Correctional Managed Health Care 804 Tuition 200 DrugsMedical Supplies 852 Fees 44 Other Expenses 2147 Grants amp Contracts 849 Debt ServiceProjects 174 InternsResidents 667 Total Operating Fund 10211$ Net Patient Revenue 4827 Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Other Revenue 586

Total Operating Fund 10211$ Total Operating Expenditures 10895$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$ Net Gain(Loss) -$

Revenues ($M) Expenditures ($M)

UConn Health

UConn Health has achieved a balanced budget by implementing spending cuts restricting hiring and identifying new revenue streams

December 13 2017 22

FY18 Comparison

(Cash Sources and Uses)FY18

Original BOT Budget ($M)

FY18 Revised

Budget ($M)

Favorable (Unfavorable)

($M) NotesAppropriation 1254 1177 (77) Reduction in workers compensation and lapsesFringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe ratesTotal State Support 2260$ 2234$ (26)$ Tuition 200 200 - Fees 44 44 - Grants amp Contracts 872 849 (23) First quarter resultsInternsResidents 667 667 - Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter resultsCorrectional Managed Health Care 804 804 - Other Revenue 576 586 10 First quarter results - retail pharmacy Total Operating Fund 10174$ 10211$ 37$

Research and Restricted Funds 684 684 -

Total Current Funds Revenues 10858$ 10895$ 37$

Personal Services 3896 3912 (16) Implementation of final SEBAC provisionsFringe Benefits 2288 2322 (34) Implementation of final SEBAC provisionsCorrectional Managed Health Care 804 804 - DrugsMedical Supplies 847 852 (05) First quarter resultsOther Expenses 2165 2147 18 First quarter resultsDebt ServiceProjects 174 174 (00) Total Operating Fund 10174$ 10211$ (37)$

Research and Restricted Expenditures 684 684 -

Total Operating Expenditures 10858$ 10895$ (37)$

Net Gain(Loss) -$ -$ -$

UConn Health

Reductions in personnel costs and increased patient revenue offset State cuts

December 13 2017 23

Appendix

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

Revised Spending PlanStorrs and Regionals

FY18 Budget Cuts

AppropriationFY 2017

Negotiated Budget FY18

102417

Negotiated Budget FY19

102417

TOTAL BIENNIUM CUT

Appropriation 229917913 199253349$ 196119593$ Fringe Reimbursement 158643360 139729547$ 135322519$ TOTAL STATE SUPPORT 388561273 338982896$ 331442112$

APPROPRIATION CUT (30664564)$ (33798320)$ (64462884)$ Associated fringe cut at 69 (in dollars) (18913813)$ $ (23320841) $ (42234654)TOTAL STATE SUPPORT CUT (49578377)$ (57119161)$ (106697538)$

TOTAL CUT (106697538)$ Cut -14

UCONN

Additional Lapses Salary (7922416)$ -4Fringe (5466467)$

(13388883)$

Storrs and Regionals

For Storrs and Regional Campuses the State budget represents a $107M cut in the biennium from the FY17 appropriation Additionally we received a $13M cut due to lapses

December 13 2017 11

Lapses = the amount of appropriation held back that is retained by OPM to achieve savings assumed in the overall State budget

Revised FY18 Spending Plan

Note Use of decimals may result in rounding differences

With a hiring freeze cost cutting new revenue streams and expense avoidance UConn projects a balanced budget for FY18 despite State cuts

Appropriation 1913 Personal Services 4947 Fringe Benefits amp Adjustments 1358 Fringe Benefits 2513 Total State Support 3272$ Other Expenses 2105 Tuition 3984 Energy 229 Fees 1365 Equipment 205 Grants amp Contracts 825 Student Financial Aid 1727 FoundationEndowment 210 Debt ServiceProjects 449 Sales amp Services 199 Total Operating Fund 12175$ Auxiliary Enterprise Revenue 2201 Other Revenue 139 Research Fund 1080

Total Operating Fund 12194$ Total Operating Expenditures 13255$

Research Fund 1066 Net GainLoss 06$

Total Current Funds Revenues 13261$

Revenues ($M) Expenditures ($M)

Storrs and Regionals

December 13 2017 12

State Appropriation

FY18 $1993

$160

$180

$200

$220

$240

$260

FY00 FY02 FY04 FY06 FY08 FY10 FY12 FY14 FY16 FY18

Allotment Appropriation $200M Baseline

(In Millions)

Allotment includes reductions due to lapses rescissions and deficit mitigation

UConnrsquos State Appropriation hasnrsquot dropped below $200M since 2004 With the lapses UConnrsquos allotment for FY18 is currently $191M

Storrs and Regionals

December 13 2017 13

UConn Growth Since 2004

Since 2004 UConn has increased

bull Enrollment by 5434 undergraduate and graduate students

bull Faculty count by 410

bull US News and World Report ranking from 25 to 18

bull Applications up to 37000 for Fall 2017 an increase of 97

bull Institutional financial aid by $902M

bull Degrees awarded annually by 2521

Storrs and Regionals

December 13 2017 14

FY18 Comparison

Note Use of decimals may result in rounding differences

Increased enrollment gains in other revenue sources hiring freeze restricted spending and reductions in capital projects and deferred maintenance helped offset State cuts

Storrs and Regionals

December 13 2017 15

FY18 Original BOT Budget

($M)

FY18 Revised Budget

($M)

Favorable (Unfavorable)

($M)Notes

Appropriation 2112 1913 (199) Revised State Appropriation Includes $79M in lapsesFringe Benefits amp Adjustments 1469 1358 (110) Fringe estimated at 71 Includes $55M in lapses Total State Support 3581$ 3272$ (309)$ Tuition 3901 3984 83 150 more students 352 additional international studentsFees 1348 1365 17 Increased enrollmentGrants amp Contracts 775 825 50 Increase in Pell funding and other scholarships from budgeted amount FoundationEndowment 195 210 15 Increased Foundation usage to offset cutsSales amp Services 183 199 16 Based on FY17 year end actuals and first quarter resultsAuxiliary Enterprise Revenue 2201 2201 - Housing Dining and Athletics are on targetOther Revenue 159 139 (20) Some shift to expense reduction revenues trending slightly downward

Total Operating Fund 12343$ 12194$ (149)$ Increase in revenue streams helps offset the State cuts

Research Fund 1066 1066 -

Total Current Funds Revenues 13410$ 13261$ (149)$

Personal Services 4962 4947 15 Additional hiring restrictions on top of budgeted personnel reductionsFringe Benefits 2483 2513 (30) Final FY18 fringe rates are higher than FY17 but lower than wo SEBACOther ExpensesEquipment 2338 2310 28 Cost cutting expense avoidance and careful spendingEnergy 249 229 20 Based on FY17 year-end actuals and first quarter resultsStudent Financial Aid 1659 1727 (67) Increase in Pell funding ($4M) and other scholarships Debt ServiceProjects 621 449 171 Reduction in capital projects and deferred maintenance

Total Operating Fund 12312$ 12175$ 137$

Research Fund 1080 1080 -

Total Current Funds Expenditures 13392$ 13255$ 137$

Net Gain(Loss) Loss 18$ 06$ (12)$

FY18 Revenue by CategoryState support is an important and significant piece of the budget however in FY18 tuition will be the largest revenue source at over 30 of total revenues

Note Use of decimals may result in rounding differences

Appropriation 1913 Fringe Benefits amp Adjustments 1358 Total State Support 3272$ Tuition 3984 Fees 1365 Grants amp Contracts 825 FoundationEndowment 210 Sales amp Services 199 Auxiliary Enterprise Revenue 2201 Other Revenue 139

Total Operating Fund 12194$

Research Fund 1066

Total Current Funds Revenues 13261$

Revenues ($M)

State Support247

Tuition300

Fees 103

Grants amp Contracts

62

Foundation 16Sales amp Services

15 Auxiliary Enterprise Revenue

166

Research Fund 78

Other Revenue

11

Storrs and Regionals

Tuition and Fees make up more than 40 of UConnrsquos budgeted revenues

December 13 2017 16

Tuition Revenue

FY17 was the first year that tuition surpassed State support as the largest revenue source The gap grows significantly in FY18 and FY19

$2461 $2599

$2698 $2904

$3197

$3534

$3775 $3984

$4220

$3290

$2824 $2885

$3081

$3507

$3845

$3740

$3272 $3314

$225

$260

$295

$330

$365

$400

$435

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18Budget

FY19Budget

State Support and Tuition Revenue

Tuition

State Support

$91M

Storrs and Regionals

UConn enrollment growth and increased rates have resulted in overall tuition revenue increases

December 13 2017 17

FY18 Expense by Category

Note Use of decimals may result in rounding differences

Salary and Fringe Benefits are the largest expense for the University at 563 of the total with Other Expenses accounting for 158 and Financial Aid at 13

Personal Services 4947 Fringe Benefits 2513 Other Expenses 2105 Energy 229 Equipment 205 Student Financial Aid 1727 Debt ServiceProjects 449 Total Operating Fund 12175$

Research Fund 1080

Total Operating Expenditures 13255$

Expenditures ($M)

Personal Services373

Fringe Benefits

190

Other Expenses

158

Energy17

Equipment15

Student Financial Aid

130

Debt ServiceProjects

34

Research Fund 81

Storrs and Regionals

Personnel costs represent more than 56 of the overall expense budget UConn will continue to restrict hiring and closely watch any spending to help maintain the balanced budget

December 13 2017 18

Rising Costs - Salary Expenses

Between FY11 and FY18 mandated salary increases due to union agreements cost UConn about $68M or 83 of the total salary growth

Other this category includes classified non-faculty professional (UCPEA) management confidential graduate assistant student amp special payroll

The majority of the growth in FY18 is due to graduate assistant contractual increases and additional police Per the SEBAC agreement FY18 includes no facultystaff salary increases

Salary Expenses ($M)

Storrs and Regionals

December 13 2017 19

$279 $272 $285 $305 $317 $326 $321 $320

$134 $143 $141$157 $166 $171 $175 $175

$0

$100

$200

$300

$400

$500

$600

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18

FacultyAAUP

Other

$413 $414

$496

$425$462 $483 $497 $495

Revised Spending PlanUConn Health

State Budget CutsUConn Health

Compared to the BOT approved budget in June the negotiated State budget is an overall cut of $111M

December 13 2017 21

Updated FY18 Spending Plan

(Cash Sources and Uses)

Appropriation 1177 Personal Services 3912 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Total State Support 2234$ Correctional Managed Health Care 804 Tuition 200 DrugsMedical Supplies 852 Fees 44 Other Expenses 2147 Grants amp Contracts 849 Debt ServiceProjects 174 InternsResidents 667 Total Operating Fund 10211$ Net Patient Revenue 4827 Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Other Revenue 586

Total Operating Fund 10211$ Total Operating Expenditures 10895$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$ Net Gain(Loss) -$

Revenues ($M) Expenditures ($M)

UConn Health

UConn Health has achieved a balanced budget by implementing spending cuts restricting hiring and identifying new revenue streams

December 13 2017 22

FY18 Comparison

(Cash Sources and Uses)FY18

Original BOT Budget ($M)

FY18 Revised

Budget ($M)

Favorable (Unfavorable)

($M) NotesAppropriation 1254 1177 (77) Reduction in workers compensation and lapsesFringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe ratesTotal State Support 2260$ 2234$ (26)$ Tuition 200 200 - Fees 44 44 - Grants amp Contracts 872 849 (23) First quarter resultsInternsResidents 667 667 - Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter resultsCorrectional Managed Health Care 804 804 - Other Revenue 576 586 10 First quarter results - retail pharmacy Total Operating Fund 10174$ 10211$ 37$

Research and Restricted Funds 684 684 -

Total Current Funds Revenues 10858$ 10895$ 37$

Personal Services 3896 3912 (16) Implementation of final SEBAC provisionsFringe Benefits 2288 2322 (34) Implementation of final SEBAC provisionsCorrectional Managed Health Care 804 804 - DrugsMedical Supplies 847 852 (05) First quarter resultsOther Expenses 2165 2147 18 First quarter resultsDebt ServiceProjects 174 174 (00) Total Operating Fund 10174$ 10211$ (37)$

Research and Restricted Expenditures 684 684 -

Total Operating Expenditures 10858$ 10895$ (37)$

Net Gain(Loss) -$ -$ -$

UConn Health

Reductions in personnel costs and increased patient revenue offset State cuts

December 13 2017 23

Appendix

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

FY18 Budget Cuts

AppropriationFY 2017

Negotiated Budget FY18

102417

Negotiated Budget FY19

102417

TOTAL BIENNIUM CUT

Appropriation 229917913 199253349$ 196119593$ Fringe Reimbursement 158643360 139729547$ 135322519$ TOTAL STATE SUPPORT 388561273 338982896$ 331442112$

APPROPRIATION CUT (30664564)$ (33798320)$ (64462884)$ Associated fringe cut at 69 (in dollars) (18913813)$ $ (23320841) $ (42234654)TOTAL STATE SUPPORT CUT (49578377)$ (57119161)$ (106697538)$

TOTAL CUT (106697538)$ Cut -14

UCONN

Additional Lapses Salary (7922416)$ -4Fringe (5466467)$

(13388883)$

Storrs and Regionals

For Storrs and Regional Campuses the State budget represents a $107M cut in the biennium from the FY17 appropriation Additionally we received a $13M cut due to lapses

December 13 2017 11

Lapses = the amount of appropriation held back that is retained by OPM to achieve savings assumed in the overall State budget

Revised FY18 Spending Plan

Note Use of decimals may result in rounding differences

With a hiring freeze cost cutting new revenue streams and expense avoidance UConn projects a balanced budget for FY18 despite State cuts

Appropriation 1913 Personal Services 4947 Fringe Benefits amp Adjustments 1358 Fringe Benefits 2513 Total State Support 3272$ Other Expenses 2105 Tuition 3984 Energy 229 Fees 1365 Equipment 205 Grants amp Contracts 825 Student Financial Aid 1727 FoundationEndowment 210 Debt ServiceProjects 449 Sales amp Services 199 Total Operating Fund 12175$ Auxiliary Enterprise Revenue 2201 Other Revenue 139 Research Fund 1080

Total Operating Fund 12194$ Total Operating Expenditures 13255$

Research Fund 1066 Net GainLoss 06$

Total Current Funds Revenues 13261$

Revenues ($M) Expenditures ($M)

Storrs and Regionals

December 13 2017 12

State Appropriation

FY18 $1993

$160

$180

$200

$220

$240

$260

FY00 FY02 FY04 FY06 FY08 FY10 FY12 FY14 FY16 FY18

Allotment Appropriation $200M Baseline

(In Millions)

Allotment includes reductions due to lapses rescissions and deficit mitigation

UConnrsquos State Appropriation hasnrsquot dropped below $200M since 2004 With the lapses UConnrsquos allotment for FY18 is currently $191M

Storrs and Regionals

December 13 2017 13

UConn Growth Since 2004

Since 2004 UConn has increased

bull Enrollment by 5434 undergraduate and graduate students

bull Faculty count by 410

bull US News and World Report ranking from 25 to 18

bull Applications up to 37000 for Fall 2017 an increase of 97

bull Institutional financial aid by $902M

bull Degrees awarded annually by 2521

Storrs and Regionals

December 13 2017 14

FY18 Comparison

Note Use of decimals may result in rounding differences

Increased enrollment gains in other revenue sources hiring freeze restricted spending and reductions in capital projects and deferred maintenance helped offset State cuts

Storrs and Regionals

December 13 2017 15

FY18 Original BOT Budget

($M)

FY18 Revised Budget

($M)

Favorable (Unfavorable)

($M)Notes

Appropriation 2112 1913 (199) Revised State Appropriation Includes $79M in lapsesFringe Benefits amp Adjustments 1469 1358 (110) Fringe estimated at 71 Includes $55M in lapses Total State Support 3581$ 3272$ (309)$ Tuition 3901 3984 83 150 more students 352 additional international studentsFees 1348 1365 17 Increased enrollmentGrants amp Contracts 775 825 50 Increase in Pell funding and other scholarships from budgeted amount FoundationEndowment 195 210 15 Increased Foundation usage to offset cutsSales amp Services 183 199 16 Based on FY17 year end actuals and first quarter resultsAuxiliary Enterprise Revenue 2201 2201 - Housing Dining and Athletics are on targetOther Revenue 159 139 (20) Some shift to expense reduction revenues trending slightly downward

Total Operating Fund 12343$ 12194$ (149)$ Increase in revenue streams helps offset the State cuts

Research Fund 1066 1066 -

Total Current Funds Revenues 13410$ 13261$ (149)$

Personal Services 4962 4947 15 Additional hiring restrictions on top of budgeted personnel reductionsFringe Benefits 2483 2513 (30) Final FY18 fringe rates are higher than FY17 but lower than wo SEBACOther ExpensesEquipment 2338 2310 28 Cost cutting expense avoidance and careful spendingEnergy 249 229 20 Based on FY17 year-end actuals and first quarter resultsStudent Financial Aid 1659 1727 (67) Increase in Pell funding ($4M) and other scholarships Debt ServiceProjects 621 449 171 Reduction in capital projects and deferred maintenance

Total Operating Fund 12312$ 12175$ 137$

Research Fund 1080 1080 -

Total Current Funds Expenditures 13392$ 13255$ 137$

Net Gain(Loss) Loss 18$ 06$ (12)$

FY18 Revenue by CategoryState support is an important and significant piece of the budget however in FY18 tuition will be the largest revenue source at over 30 of total revenues

Note Use of decimals may result in rounding differences

Appropriation 1913 Fringe Benefits amp Adjustments 1358 Total State Support 3272$ Tuition 3984 Fees 1365 Grants amp Contracts 825 FoundationEndowment 210 Sales amp Services 199 Auxiliary Enterprise Revenue 2201 Other Revenue 139

Total Operating Fund 12194$

Research Fund 1066

Total Current Funds Revenues 13261$

Revenues ($M)

State Support247

Tuition300

Fees 103

Grants amp Contracts

62

Foundation 16Sales amp Services

15 Auxiliary Enterprise Revenue

166

Research Fund 78

Other Revenue

11

Storrs and Regionals

Tuition and Fees make up more than 40 of UConnrsquos budgeted revenues

December 13 2017 16

Tuition Revenue

FY17 was the first year that tuition surpassed State support as the largest revenue source The gap grows significantly in FY18 and FY19

$2461 $2599

$2698 $2904

$3197

$3534

$3775 $3984

$4220

$3290

$2824 $2885

$3081

$3507

$3845

$3740

$3272 $3314

$225

$260

$295

$330

$365

$400

$435

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18Budget

FY19Budget

State Support and Tuition Revenue

Tuition

State Support

$91M

Storrs and Regionals

UConn enrollment growth and increased rates have resulted in overall tuition revenue increases

December 13 2017 17

FY18 Expense by Category

Note Use of decimals may result in rounding differences

Salary and Fringe Benefits are the largest expense for the University at 563 of the total with Other Expenses accounting for 158 and Financial Aid at 13

Personal Services 4947 Fringe Benefits 2513 Other Expenses 2105 Energy 229 Equipment 205 Student Financial Aid 1727 Debt ServiceProjects 449 Total Operating Fund 12175$

Research Fund 1080

Total Operating Expenditures 13255$

Expenditures ($M)

Personal Services373

Fringe Benefits

190

Other Expenses

158

Energy17

Equipment15

Student Financial Aid

130

Debt ServiceProjects

34

Research Fund 81

Storrs and Regionals

Personnel costs represent more than 56 of the overall expense budget UConn will continue to restrict hiring and closely watch any spending to help maintain the balanced budget

December 13 2017 18

Rising Costs - Salary Expenses

Between FY11 and FY18 mandated salary increases due to union agreements cost UConn about $68M or 83 of the total salary growth

Other this category includes classified non-faculty professional (UCPEA) management confidential graduate assistant student amp special payroll

The majority of the growth in FY18 is due to graduate assistant contractual increases and additional police Per the SEBAC agreement FY18 includes no facultystaff salary increases

Salary Expenses ($M)

Storrs and Regionals

December 13 2017 19

$279 $272 $285 $305 $317 $326 $321 $320

$134 $143 $141$157 $166 $171 $175 $175

$0

$100

$200

$300

$400

$500

$600

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18

FacultyAAUP

Other

$413 $414

$496

$425$462 $483 $497 $495

Revised Spending PlanUConn Health

State Budget CutsUConn Health

Compared to the BOT approved budget in June the negotiated State budget is an overall cut of $111M

December 13 2017 21

Updated FY18 Spending Plan

(Cash Sources and Uses)

Appropriation 1177 Personal Services 3912 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Total State Support 2234$ Correctional Managed Health Care 804 Tuition 200 DrugsMedical Supplies 852 Fees 44 Other Expenses 2147 Grants amp Contracts 849 Debt ServiceProjects 174 InternsResidents 667 Total Operating Fund 10211$ Net Patient Revenue 4827 Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Other Revenue 586

Total Operating Fund 10211$ Total Operating Expenditures 10895$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$ Net Gain(Loss) -$

Revenues ($M) Expenditures ($M)

UConn Health

UConn Health has achieved a balanced budget by implementing spending cuts restricting hiring and identifying new revenue streams

December 13 2017 22

FY18 Comparison

(Cash Sources and Uses)FY18

Original BOT Budget ($M)

FY18 Revised

Budget ($M)

Favorable (Unfavorable)

($M) NotesAppropriation 1254 1177 (77) Reduction in workers compensation and lapsesFringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe ratesTotal State Support 2260$ 2234$ (26)$ Tuition 200 200 - Fees 44 44 - Grants amp Contracts 872 849 (23) First quarter resultsInternsResidents 667 667 - Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter resultsCorrectional Managed Health Care 804 804 - Other Revenue 576 586 10 First quarter results - retail pharmacy Total Operating Fund 10174$ 10211$ 37$

Research and Restricted Funds 684 684 -

Total Current Funds Revenues 10858$ 10895$ 37$

Personal Services 3896 3912 (16) Implementation of final SEBAC provisionsFringe Benefits 2288 2322 (34) Implementation of final SEBAC provisionsCorrectional Managed Health Care 804 804 - DrugsMedical Supplies 847 852 (05) First quarter resultsOther Expenses 2165 2147 18 First quarter resultsDebt ServiceProjects 174 174 (00) Total Operating Fund 10174$ 10211$ (37)$

Research and Restricted Expenditures 684 684 -

Total Operating Expenditures 10858$ 10895$ (37)$

Net Gain(Loss) -$ -$ -$

UConn Health

Reductions in personnel costs and increased patient revenue offset State cuts

December 13 2017 23

Appendix

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

Revised FY18 Spending Plan

Note Use of decimals may result in rounding differences

With a hiring freeze cost cutting new revenue streams and expense avoidance UConn projects a balanced budget for FY18 despite State cuts

Appropriation 1913 Personal Services 4947 Fringe Benefits amp Adjustments 1358 Fringe Benefits 2513 Total State Support 3272$ Other Expenses 2105 Tuition 3984 Energy 229 Fees 1365 Equipment 205 Grants amp Contracts 825 Student Financial Aid 1727 FoundationEndowment 210 Debt ServiceProjects 449 Sales amp Services 199 Total Operating Fund 12175$ Auxiliary Enterprise Revenue 2201 Other Revenue 139 Research Fund 1080

Total Operating Fund 12194$ Total Operating Expenditures 13255$

Research Fund 1066 Net GainLoss 06$

Total Current Funds Revenues 13261$

Revenues ($M) Expenditures ($M)

Storrs and Regionals

December 13 2017 12

State Appropriation

FY18 $1993

$160

$180

$200

$220

$240

$260

FY00 FY02 FY04 FY06 FY08 FY10 FY12 FY14 FY16 FY18

Allotment Appropriation $200M Baseline

(In Millions)

Allotment includes reductions due to lapses rescissions and deficit mitigation

UConnrsquos State Appropriation hasnrsquot dropped below $200M since 2004 With the lapses UConnrsquos allotment for FY18 is currently $191M

Storrs and Regionals

December 13 2017 13

UConn Growth Since 2004

Since 2004 UConn has increased

bull Enrollment by 5434 undergraduate and graduate students

bull Faculty count by 410

bull US News and World Report ranking from 25 to 18

bull Applications up to 37000 for Fall 2017 an increase of 97

bull Institutional financial aid by $902M

bull Degrees awarded annually by 2521

Storrs and Regionals

December 13 2017 14

FY18 Comparison

Note Use of decimals may result in rounding differences

Increased enrollment gains in other revenue sources hiring freeze restricted spending and reductions in capital projects and deferred maintenance helped offset State cuts

Storrs and Regionals

December 13 2017 15

FY18 Original BOT Budget

($M)

FY18 Revised Budget

($M)

Favorable (Unfavorable)

($M)Notes

Appropriation 2112 1913 (199) Revised State Appropriation Includes $79M in lapsesFringe Benefits amp Adjustments 1469 1358 (110) Fringe estimated at 71 Includes $55M in lapses Total State Support 3581$ 3272$ (309)$ Tuition 3901 3984 83 150 more students 352 additional international studentsFees 1348 1365 17 Increased enrollmentGrants amp Contracts 775 825 50 Increase in Pell funding and other scholarships from budgeted amount FoundationEndowment 195 210 15 Increased Foundation usage to offset cutsSales amp Services 183 199 16 Based on FY17 year end actuals and first quarter resultsAuxiliary Enterprise Revenue 2201 2201 - Housing Dining and Athletics are on targetOther Revenue 159 139 (20) Some shift to expense reduction revenues trending slightly downward

Total Operating Fund 12343$ 12194$ (149)$ Increase in revenue streams helps offset the State cuts

Research Fund 1066 1066 -

Total Current Funds Revenues 13410$ 13261$ (149)$

Personal Services 4962 4947 15 Additional hiring restrictions on top of budgeted personnel reductionsFringe Benefits 2483 2513 (30) Final FY18 fringe rates are higher than FY17 but lower than wo SEBACOther ExpensesEquipment 2338 2310 28 Cost cutting expense avoidance and careful spendingEnergy 249 229 20 Based on FY17 year-end actuals and first quarter resultsStudent Financial Aid 1659 1727 (67) Increase in Pell funding ($4M) and other scholarships Debt ServiceProjects 621 449 171 Reduction in capital projects and deferred maintenance

Total Operating Fund 12312$ 12175$ 137$

Research Fund 1080 1080 -

Total Current Funds Expenditures 13392$ 13255$ 137$

Net Gain(Loss) Loss 18$ 06$ (12)$

FY18 Revenue by CategoryState support is an important and significant piece of the budget however in FY18 tuition will be the largest revenue source at over 30 of total revenues

Note Use of decimals may result in rounding differences

Appropriation 1913 Fringe Benefits amp Adjustments 1358 Total State Support 3272$ Tuition 3984 Fees 1365 Grants amp Contracts 825 FoundationEndowment 210 Sales amp Services 199 Auxiliary Enterprise Revenue 2201 Other Revenue 139

Total Operating Fund 12194$

Research Fund 1066

Total Current Funds Revenues 13261$

Revenues ($M)

State Support247

Tuition300

Fees 103

Grants amp Contracts

62

Foundation 16Sales amp Services

15 Auxiliary Enterprise Revenue

166

Research Fund 78

Other Revenue

11

Storrs and Regionals

Tuition and Fees make up more than 40 of UConnrsquos budgeted revenues

December 13 2017 16

Tuition Revenue

FY17 was the first year that tuition surpassed State support as the largest revenue source The gap grows significantly in FY18 and FY19

$2461 $2599

$2698 $2904

$3197

$3534

$3775 $3984

$4220

$3290

$2824 $2885

$3081

$3507

$3845

$3740

$3272 $3314

$225

$260

$295

$330

$365

$400

$435

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18Budget

FY19Budget

State Support and Tuition Revenue

Tuition

State Support

$91M

Storrs and Regionals

UConn enrollment growth and increased rates have resulted in overall tuition revenue increases

December 13 2017 17

FY18 Expense by Category

Note Use of decimals may result in rounding differences

Salary and Fringe Benefits are the largest expense for the University at 563 of the total with Other Expenses accounting for 158 and Financial Aid at 13

Personal Services 4947 Fringe Benefits 2513 Other Expenses 2105 Energy 229 Equipment 205 Student Financial Aid 1727 Debt ServiceProjects 449 Total Operating Fund 12175$

Research Fund 1080

Total Operating Expenditures 13255$

Expenditures ($M)

Personal Services373

Fringe Benefits

190

Other Expenses

158

Energy17

Equipment15

Student Financial Aid

130

Debt ServiceProjects

34

Research Fund 81

Storrs and Regionals

Personnel costs represent more than 56 of the overall expense budget UConn will continue to restrict hiring and closely watch any spending to help maintain the balanced budget

December 13 2017 18

Rising Costs - Salary Expenses

Between FY11 and FY18 mandated salary increases due to union agreements cost UConn about $68M or 83 of the total salary growth

Other this category includes classified non-faculty professional (UCPEA) management confidential graduate assistant student amp special payroll

The majority of the growth in FY18 is due to graduate assistant contractual increases and additional police Per the SEBAC agreement FY18 includes no facultystaff salary increases

Salary Expenses ($M)

Storrs and Regionals

December 13 2017 19

$279 $272 $285 $305 $317 $326 $321 $320

$134 $143 $141$157 $166 $171 $175 $175

$0

$100

$200

$300

$400

$500

$600

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18

FacultyAAUP

Other

$413 $414

$496

$425$462 $483 $497 $495

Revised Spending PlanUConn Health

State Budget CutsUConn Health

Compared to the BOT approved budget in June the negotiated State budget is an overall cut of $111M

December 13 2017 21

Updated FY18 Spending Plan

(Cash Sources and Uses)

Appropriation 1177 Personal Services 3912 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Total State Support 2234$ Correctional Managed Health Care 804 Tuition 200 DrugsMedical Supplies 852 Fees 44 Other Expenses 2147 Grants amp Contracts 849 Debt ServiceProjects 174 InternsResidents 667 Total Operating Fund 10211$ Net Patient Revenue 4827 Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Other Revenue 586

Total Operating Fund 10211$ Total Operating Expenditures 10895$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$ Net Gain(Loss) -$

Revenues ($M) Expenditures ($M)

UConn Health

UConn Health has achieved a balanced budget by implementing spending cuts restricting hiring and identifying new revenue streams

December 13 2017 22

FY18 Comparison

(Cash Sources and Uses)FY18

Original BOT Budget ($M)

FY18 Revised

Budget ($M)

Favorable (Unfavorable)

($M) NotesAppropriation 1254 1177 (77) Reduction in workers compensation and lapsesFringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe ratesTotal State Support 2260$ 2234$ (26)$ Tuition 200 200 - Fees 44 44 - Grants amp Contracts 872 849 (23) First quarter resultsInternsResidents 667 667 - Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter resultsCorrectional Managed Health Care 804 804 - Other Revenue 576 586 10 First quarter results - retail pharmacy Total Operating Fund 10174$ 10211$ 37$

Research and Restricted Funds 684 684 -

Total Current Funds Revenues 10858$ 10895$ 37$

Personal Services 3896 3912 (16) Implementation of final SEBAC provisionsFringe Benefits 2288 2322 (34) Implementation of final SEBAC provisionsCorrectional Managed Health Care 804 804 - DrugsMedical Supplies 847 852 (05) First quarter resultsOther Expenses 2165 2147 18 First quarter resultsDebt ServiceProjects 174 174 (00) Total Operating Fund 10174$ 10211$ (37)$

Research and Restricted Expenditures 684 684 -

Total Operating Expenditures 10858$ 10895$ (37)$

Net Gain(Loss) -$ -$ -$

UConn Health

Reductions in personnel costs and increased patient revenue offset State cuts

December 13 2017 23

Appendix

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

State Appropriation

FY18 $1993

$160

$180

$200

$220

$240

$260

FY00 FY02 FY04 FY06 FY08 FY10 FY12 FY14 FY16 FY18

Allotment Appropriation $200M Baseline

(In Millions)

Allotment includes reductions due to lapses rescissions and deficit mitigation

UConnrsquos State Appropriation hasnrsquot dropped below $200M since 2004 With the lapses UConnrsquos allotment for FY18 is currently $191M

Storrs and Regionals

December 13 2017 13

UConn Growth Since 2004

Since 2004 UConn has increased

bull Enrollment by 5434 undergraduate and graduate students

bull Faculty count by 410

bull US News and World Report ranking from 25 to 18

bull Applications up to 37000 for Fall 2017 an increase of 97

bull Institutional financial aid by $902M

bull Degrees awarded annually by 2521

Storrs and Regionals

December 13 2017 14

FY18 Comparison

Note Use of decimals may result in rounding differences

Increased enrollment gains in other revenue sources hiring freeze restricted spending and reductions in capital projects and deferred maintenance helped offset State cuts

Storrs and Regionals

December 13 2017 15

FY18 Original BOT Budget

($M)

FY18 Revised Budget

($M)

Favorable (Unfavorable)

($M)Notes

Appropriation 2112 1913 (199) Revised State Appropriation Includes $79M in lapsesFringe Benefits amp Adjustments 1469 1358 (110) Fringe estimated at 71 Includes $55M in lapses Total State Support 3581$ 3272$ (309)$ Tuition 3901 3984 83 150 more students 352 additional international studentsFees 1348 1365 17 Increased enrollmentGrants amp Contracts 775 825 50 Increase in Pell funding and other scholarships from budgeted amount FoundationEndowment 195 210 15 Increased Foundation usage to offset cutsSales amp Services 183 199 16 Based on FY17 year end actuals and first quarter resultsAuxiliary Enterprise Revenue 2201 2201 - Housing Dining and Athletics are on targetOther Revenue 159 139 (20) Some shift to expense reduction revenues trending slightly downward

Total Operating Fund 12343$ 12194$ (149)$ Increase in revenue streams helps offset the State cuts

Research Fund 1066 1066 -

Total Current Funds Revenues 13410$ 13261$ (149)$

Personal Services 4962 4947 15 Additional hiring restrictions on top of budgeted personnel reductionsFringe Benefits 2483 2513 (30) Final FY18 fringe rates are higher than FY17 but lower than wo SEBACOther ExpensesEquipment 2338 2310 28 Cost cutting expense avoidance and careful spendingEnergy 249 229 20 Based on FY17 year-end actuals and first quarter resultsStudent Financial Aid 1659 1727 (67) Increase in Pell funding ($4M) and other scholarships Debt ServiceProjects 621 449 171 Reduction in capital projects and deferred maintenance

Total Operating Fund 12312$ 12175$ 137$

Research Fund 1080 1080 -

Total Current Funds Expenditures 13392$ 13255$ 137$

Net Gain(Loss) Loss 18$ 06$ (12)$

FY18 Revenue by CategoryState support is an important and significant piece of the budget however in FY18 tuition will be the largest revenue source at over 30 of total revenues

Note Use of decimals may result in rounding differences

Appropriation 1913 Fringe Benefits amp Adjustments 1358 Total State Support 3272$ Tuition 3984 Fees 1365 Grants amp Contracts 825 FoundationEndowment 210 Sales amp Services 199 Auxiliary Enterprise Revenue 2201 Other Revenue 139

Total Operating Fund 12194$

Research Fund 1066

Total Current Funds Revenues 13261$

Revenues ($M)

State Support247

Tuition300

Fees 103

Grants amp Contracts

62

Foundation 16Sales amp Services

15 Auxiliary Enterprise Revenue

166

Research Fund 78

Other Revenue

11

Storrs and Regionals

Tuition and Fees make up more than 40 of UConnrsquos budgeted revenues

December 13 2017 16

Tuition Revenue

FY17 was the first year that tuition surpassed State support as the largest revenue source The gap grows significantly in FY18 and FY19

$2461 $2599

$2698 $2904

$3197

$3534

$3775 $3984

$4220

$3290

$2824 $2885

$3081

$3507

$3845

$3740

$3272 $3314

$225

$260

$295

$330

$365

$400

$435

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18Budget

FY19Budget

State Support and Tuition Revenue

Tuition

State Support

$91M

Storrs and Regionals

UConn enrollment growth and increased rates have resulted in overall tuition revenue increases

December 13 2017 17

FY18 Expense by Category

Note Use of decimals may result in rounding differences

Salary and Fringe Benefits are the largest expense for the University at 563 of the total with Other Expenses accounting for 158 and Financial Aid at 13

Personal Services 4947 Fringe Benefits 2513 Other Expenses 2105 Energy 229 Equipment 205 Student Financial Aid 1727 Debt ServiceProjects 449 Total Operating Fund 12175$

Research Fund 1080

Total Operating Expenditures 13255$

Expenditures ($M)

Personal Services373

Fringe Benefits

190

Other Expenses

158

Energy17

Equipment15

Student Financial Aid

130

Debt ServiceProjects

34

Research Fund 81

Storrs and Regionals

Personnel costs represent more than 56 of the overall expense budget UConn will continue to restrict hiring and closely watch any spending to help maintain the balanced budget

December 13 2017 18

Rising Costs - Salary Expenses

Between FY11 and FY18 mandated salary increases due to union agreements cost UConn about $68M or 83 of the total salary growth

Other this category includes classified non-faculty professional (UCPEA) management confidential graduate assistant student amp special payroll

The majority of the growth in FY18 is due to graduate assistant contractual increases and additional police Per the SEBAC agreement FY18 includes no facultystaff salary increases

Salary Expenses ($M)

Storrs and Regionals

December 13 2017 19

$279 $272 $285 $305 $317 $326 $321 $320

$134 $143 $141$157 $166 $171 $175 $175

$0

$100

$200

$300

$400

$500

$600

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18

FacultyAAUP

Other

$413 $414

$496

$425$462 $483 $497 $495

Revised Spending PlanUConn Health

State Budget CutsUConn Health

Compared to the BOT approved budget in June the negotiated State budget is an overall cut of $111M

December 13 2017 21

Updated FY18 Spending Plan

(Cash Sources and Uses)

Appropriation 1177 Personal Services 3912 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Total State Support 2234$ Correctional Managed Health Care 804 Tuition 200 DrugsMedical Supplies 852 Fees 44 Other Expenses 2147 Grants amp Contracts 849 Debt ServiceProjects 174 InternsResidents 667 Total Operating Fund 10211$ Net Patient Revenue 4827 Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Other Revenue 586

Total Operating Fund 10211$ Total Operating Expenditures 10895$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$ Net Gain(Loss) -$

Revenues ($M) Expenditures ($M)

UConn Health

UConn Health has achieved a balanced budget by implementing spending cuts restricting hiring and identifying new revenue streams

December 13 2017 22

FY18 Comparison

(Cash Sources and Uses)FY18

Original BOT Budget ($M)

FY18 Revised

Budget ($M)

Favorable (Unfavorable)

($M) NotesAppropriation 1254 1177 (77) Reduction in workers compensation and lapsesFringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe ratesTotal State Support 2260$ 2234$ (26)$ Tuition 200 200 - Fees 44 44 - Grants amp Contracts 872 849 (23) First quarter resultsInternsResidents 667 667 - Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter resultsCorrectional Managed Health Care 804 804 - Other Revenue 576 586 10 First quarter results - retail pharmacy Total Operating Fund 10174$ 10211$ 37$

Research and Restricted Funds 684 684 -

Total Current Funds Revenues 10858$ 10895$ 37$

Personal Services 3896 3912 (16) Implementation of final SEBAC provisionsFringe Benefits 2288 2322 (34) Implementation of final SEBAC provisionsCorrectional Managed Health Care 804 804 - DrugsMedical Supplies 847 852 (05) First quarter resultsOther Expenses 2165 2147 18 First quarter resultsDebt ServiceProjects 174 174 (00) Total Operating Fund 10174$ 10211$ (37)$

Research and Restricted Expenditures 684 684 -

Total Operating Expenditures 10858$ 10895$ (37)$

Net Gain(Loss) -$ -$ -$

UConn Health

Reductions in personnel costs and increased patient revenue offset State cuts

December 13 2017 23

Appendix

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

UConn Growth Since 2004

Since 2004 UConn has increased

bull Enrollment by 5434 undergraduate and graduate students

bull Faculty count by 410

bull US News and World Report ranking from 25 to 18

bull Applications up to 37000 for Fall 2017 an increase of 97

bull Institutional financial aid by $902M

bull Degrees awarded annually by 2521

Storrs and Regionals

December 13 2017 14

FY18 Comparison

Note Use of decimals may result in rounding differences

Increased enrollment gains in other revenue sources hiring freeze restricted spending and reductions in capital projects and deferred maintenance helped offset State cuts

Storrs and Regionals

December 13 2017 15

FY18 Original BOT Budget

($M)

FY18 Revised Budget

($M)

Favorable (Unfavorable)

($M)Notes

Appropriation 2112 1913 (199) Revised State Appropriation Includes $79M in lapsesFringe Benefits amp Adjustments 1469 1358 (110) Fringe estimated at 71 Includes $55M in lapses Total State Support 3581$ 3272$ (309)$ Tuition 3901 3984 83 150 more students 352 additional international studentsFees 1348 1365 17 Increased enrollmentGrants amp Contracts 775 825 50 Increase in Pell funding and other scholarships from budgeted amount FoundationEndowment 195 210 15 Increased Foundation usage to offset cutsSales amp Services 183 199 16 Based on FY17 year end actuals and first quarter resultsAuxiliary Enterprise Revenue 2201 2201 - Housing Dining and Athletics are on targetOther Revenue 159 139 (20) Some shift to expense reduction revenues trending slightly downward

Total Operating Fund 12343$ 12194$ (149)$ Increase in revenue streams helps offset the State cuts

Research Fund 1066 1066 -

Total Current Funds Revenues 13410$ 13261$ (149)$

Personal Services 4962 4947 15 Additional hiring restrictions on top of budgeted personnel reductionsFringe Benefits 2483 2513 (30) Final FY18 fringe rates are higher than FY17 but lower than wo SEBACOther ExpensesEquipment 2338 2310 28 Cost cutting expense avoidance and careful spendingEnergy 249 229 20 Based on FY17 year-end actuals and first quarter resultsStudent Financial Aid 1659 1727 (67) Increase in Pell funding ($4M) and other scholarships Debt ServiceProjects 621 449 171 Reduction in capital projects and deferred maintenance

Total Operating Fund 12312$ 12175$ 137$

Research Fund 1080 1080 -

Total Current Funds Expenditures 13392$ 13255$ 137$

Net Gain(Loss) Loss 18$ 06$ (12)$

FY18 Revenue by CategoryState support is an important and significant piece of the budget however in FY18 tuition will be the largest revenue source at over 30 of total revenues

Note Use of decimals may result in rounding differences

Appropriation 1913 Fringe Benefits amp Adjustments 1358 Total State Support 3272$ Tuition 3984 Fees 1365 Grants amp Contracts 825 FoundationEndowment 210 Sales amp Services 199 Auxiliary Enterprise Revenue 2201 Other Revenue 139

Total Operating Fund 12194$

Research Fund 1066

Total Current Funds Revenues 13261$

Revenues ($M)

State Support247

Tuition300

Fees 103

Grants amp Contracts

62

Foundation 16Sales amp Services

15 Auxiliary Enterprise Revenue

166

Research Fund 78

Other Revenue

11

Storrs and Regionals

Tuition and Fees make up more than 40 of UConnrsquos budgeted revenues

December 13 2017 16

Tuition Revenue

FY17 was the first year that tuition surpassed State support as the largest revenue source The gap grows significantly in FY18 and FY19

$2461 $2599

$2698 $2904

$3197

$3534

$3775 $3984

$4220

$3290

$2824 $2885

$3081

$3507

$3845

$3740

$3272 $3314

$225

$260

$295

$330

$365

$400

$435

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18Budget

FY19Budget

State Support and Tuition Revenue

Tuition

State Support

$91M

Storrs and Regionals

UConn enrollment growth and increased rates have resulted in overall tuition revenue increases

December 13 2017 17

FY18 Expense by Category

Note Use of decimals may result in rounding differences

Salary and Fringe Benefits are the largest expense for the University at 563 of the total with Other Expenses accounting for 158 and Financial Aid at 13

Personal Services 4947 Fringe Benefits 2513 Other Expenses 2105 Energy 229 Equipment 205 Student Financial Aid 1727 Debt ServiceProjects 449 Total Operating Fund 12175$

Research Fund 1080

Total Operating Expenditures 13255$

Expenditures ($M)

Personal Services373

Fringe Benefits

190

Other Expenses

158

Energy17

Equipment15

Student Financial Aid

130

Debt ServiceProjects

34

Research Fund 81

Storrs and Regionals

Personnel costs represent more than 56 of the overall expense budget UConn will continue to restrict hiring and closely watch any spending to help maintain the balanced budget

December 13 2017 18

Rising Costs - Salary Expenses

Between FY11 and FY18 mandated salary increases due to union agreements cost UConn about $68M or 83 of the total salary growth

Other this category includes classified non-faculty professional (UCPEA) management confidential graduate assistant student amp special payroll

The majority of the growth in FY18 is due to graduate assistant contractual increases and additional police Per the SEBAC agreement FY18 includes no facultystaff salary increases

Salary Expenses ($M)

Storrs and Regionals

December 13 2017 19

$279 $272 $285 $305 $317 $326 $321 $320

$134 $143 $141$157 $166 $171 $175 $175

$0

$100

$200

$300

$400

$500

$600

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18

FacultyAAUP

Other

$413 $414

$496

$425$462 $483 $497 $495

Revised Spending PlanUConn Health

State Budget CutsUConn Health

Compared to the BOT approved budget in June the negotiated State budget is an overall cut of $111M

December 13 2017 21

Updated FY18 Spending Plan

(Cash Sources and Uses)

Appropriation 1177 Personal Services 3912 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Total State Support 2234$ Correctional Managed Health Care 804 Tuition 200 DrugsMedical Supplies 852 Fees 44 Other Expenses 2147 Grants amp Contracts 849 Debt ServiceProjects 174 InternsResidents 667 Total Operating Fund 10211$ Net Patient Revenue 4827 Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Other Revenue 586

Total Operating Fund 10211$ Total Operating Expenditures 10895$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$ Net Gain(Loss) -$

Revenues ($M) Expenditures ($M)

UConn Health

UConn Health has achieved a balanced budget by implementing spending cuts restricting hiring and identifying new revenue streams

December 13 2017 22

FY18 Comparison

(Cash Sources and Uses)FY18

Original BOT Budget ($M)

FY18 Revised

Budget ($M)

Favorable (Unfavorable)

($M) NotesAppropriation 1254 1177 (77) Reduction in workers compensation and lapsesFringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe ratesTotal State Support 2260$ 2234$ (26)$ Tuition 200 200 - Fees 44 44 - Grants amp Contracts 872 849 (23) First quarter resultsInternsResidents 667 667 - Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter resultsCorrectional Managed Health Care 804 804 - Other Revenue 576 586 10 First quarter results - retail pharmacy Total Operating Fund 10174$ 10211$ 37$

Research and Restricted Funds 684 684 -

Total Current Funds Revenues 10858$ 10895$ 37$

Personal Services 3896 3912 (16) Implementation of final SEBAC provisionsFringe Benefits 2288 2322 (34) Implementation of final SEBAC provisionsCorrectional Managed Health Care 804 804 - DrugsMedical Supplies 847 852 (05) First quarter resultsOther Expenses 2165 2147 18 First quarter resultsDebt ServiceProjects 174 174 (00) Total Operating Fund 10174$ 10211$ (37)$

Research and Restricted Expenditures 684 684 -

Total Operating Expenditures 10858$ 10895$ (37)$

Net Gain(Loss) -$ -$ -$

UConn Health

Reductions in personnel costs and increased patient revenue offset State cuts

December 13 2017 23

Appendix

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

FY18 Comparison

Note Use of decimals may result in rounding differences

Increased enrollment gains in other revenue sources hiring freeze restricted spending and reductions in capital projects and deferred maintenance helped offset State cuts

Storrs and Regionals

December 13 2017 15

FY18 Original BOT Budget

($M)

FY18 Revised Budget

($M)

Favorable (Unfavorable)

($M)Notes

Appropriation 2112 1913 (199) Revised State Appropriation Includes $79M in lapsesFringe Benefits amp Adjustments 1469 1358 (110) Fringe estimated at 71 Includes $55M in lapses Total State Support 3581$ 3272$ (309)$ Tuition 3901 3984 83 150 more students 352 additional international studentsFees 1348 1365 17 Increased enrollmentGrants amp Contracts 775 825 50 Increase in Pell funding and other scholarships from budgeted amount FoundationEndowment 195 210 15 Increased Foundation usage to offset cutsSales amp Services 183 199 16 Based on FY17 year end actuals and first quarter resultsAuxiliary Enterprise Revenue 2201 2201 - Housing Dining and Athletics are on targetOther Revenue 159 139 (20) Some shift to expense reduction revenues trending slightly downward

Total Operating Fund 12343$ 12194$ (149)$ Increase in revenue streams helps offset the State cuts

Research Fund 1066 1066 -

Total Current Funds Revenues 13410$ 13261$ (149)$

Personal Services 4962 4947 15 Additional hiring restrictions on top of budgeted personnel reductionsFringe Benefits 2483 2513 (30) Final FY18 fringe rates are higher than FY17 but lower than wo SEBACOther ExpensesEquipment 2338 2310 28 Cost cutting expense avoidance and careful spendingEnergy 249 229 20 Based on FY17 year-end actuals and first quarter resultsStudent Financial Aid 1659 1727 (67) Increase in Pell funding ($4M) and other scholarships Debt ServiceProjects 621 449 171 Reduction in capital projects and deferred maintenance

Total Operating Fund 12312$ 12175$ 137$

Research Fund 1080 1080 -

Total Current Funds Expenditures 13392$ 13255$ 137$

Net Gain(Loss) Loss 18$ 06$ (12)$

FY18 Revenue by CategoryState support is an important and significant piece of the budget however in FY18 tuition will be the largest revenue source at over 30 of total revenues

Note Use of decimals may result in rounding differences

Appropriation 1913 Fringe Benefits amp Adjustments 1358 Total State Support 3272$ Tuition 3984 Fees 1365 Grants amp Contracts 825 FoundationEndowment 210 Sales amp Services 199 Auxiliary Enterprise Revenue 2201 Other Revenue 139

Total Operating Fund 12194$

Research Fund 1066

Total Current Funds Revenues 13261$

Revenues ($M)

State Support247

Tuition300

Fees 103

Grants amp Contracts

62

Foundation 16Sales amp Services

15 Auxiliary Enterprise Revenue

166

Research Fund 78

Other Revenue

11

Storrs and Regionals

Tuition and Fees make up more than 40 of UConnrsquos budgeted revenues

December 13 2017 16

Tuition Revenue

FY17 was the first year that tuition surpassed State support as the largest revenue source The gap grows significantly in FY18 and FY19

$2461 $2599

$2698 $2904

$3197

$3534

$3775 $3984

$4220

$3290

$2824 $2885

$3081

$3507

$3845

$3740

$3272 $3314

$225

$260

$295

$330

$365

$400

$435

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18Budget

FY19Budget

State Support and Tuition Revenue

Tuition

State Support

$91M

Storrs and Regionals

UConn enrollment growth and increased rates have resulted in overall tuition revenue increases

December 13 2017 17

FY18 Expense by Category

Note Use of decimals may result in rounding differences

Salary and Fringe Benefits are the largest expense for the University at 563 of the total with Other Expenses accounting for 158 and Financial Aid at 13

Personal Services 4947 Fringe Benefits 2513 Other Expenses 2105 Energy 229 Equipment 205 Student Financial Aid 1727 Debt ServiceProjects 449 Total Operating Fund 12175$

Research Fund 1080

Total Operating Expenditures 13255$

Expenditures ($M)

Personal Services373

Fringe Benefits

190

Other Expenses

158

Energy17

Equipment15

Student Financial Aid

130

Debt ServiceProjects

34

Research Fund 81

Storrs and Regionals

Personnel costs represent more than 56 of the overall expense budget UConn will continue to restrict hiring and closely watch any spending to help maintain the balanced budget

December 13 2017 18

Rising Costs - Salary Expenses

Between FY11 and FY18 mandated salary increases due to union agreements cost UConn about $68M or 83 of the total salary growth

Other this category includes classified non-faculty professional (UCPEA) management confidential graduate assistant student amp special payroll

The majority of the growth in FY18 is due to graduate assistant contractual increases and additional police Per the SEBAC agreement FY18 includes no facultystaff salary increases

Salary Expenses ($M)

Storrs and Regionals

December 13 2017 19

$279 $272 $285 $305 $317 $326 $321 $320

$134 $143 $141$157 $166 $171 $175 $175

$0

$100

$200

$300

$400

$500

$600

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18

FacultyAAUP

Other

$413 $414

$496

$425$462 $483 $497 $495

Revised Spending PlanUConn Health

State Budget CutsUConn Health

Compared to the BOT approved budget in June the negotiated State budget is an overall cut of $111M

December 13 2017 21

Updated FY18 Spending Plan

(Cash Sources and Uses)

Appropriation 1177 Personal Services 3912 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Total State Support 2234$ Correctional Managed Health Care 804 Tuition 200 DrugsMedical Supplies 852 Fees 44 Other Expenses 2147 Grants amp Contracts 849 Debt ServiceProjects 174 InternsResidents 667 Total Operating Fund 10211$ Net Patient Revenue 4827 Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Other Revenue 586

Total Operating Fund 10211$ Total Operating Expenditures 10895$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$ Net Gain(Loss) -$

Revenues ($M) Expenditures ($M)

UConn Health

UConn Health has achieved a balanced budget by implementing spending cuts restricting hiring and identifying new revenue streams

December 13 2017 22

FY18 Comparison

(Cash Sources and Uses)FY18

Original BOT Budget ($M)

FY18 Revised

Budget ($M)

Favorable (Unfavorable)

($M) NotesAppropriation 1254 1177 (77) Reduction in workers compensation and lapsesFringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe ratesTotal State Support 2260$ 2234$ (26)$ Tuition 200 200 - Fees 44 44 - Grants amp Contracts 872 849 (23) First quarter resultsInternsResidents 667 667 - Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter resultsCorrectional Managed Health Care 804 804 - Other Revenue 576 586 10 First quarter results - retail pharmacy Total Operating Fund 10174$ 10211$ 37$

Research and Restricted Funds 684 684 -

Total Current Funds Revenues 10858$ 10895$ 37$

Personal Services 3896 3912 (16) Implementation of final SEBAC provisionsFringe Benefits 2288 2322 (34) Implementation of final SEBAC provisionsCorrectional Managed Health Care 804 804 - DrugsMedical Supplies 847 852 (05) First quarter resultsOther Expenses 2165 2147 18 First quarter resultsDebt ServiceProjects 174 174 (00) Total Operating Fund 10174$ 10211$ (37)$

Research and Restricted Expenditures 684 684 -

Total Operating Expenditures 10858$ 10895$ (37)$

Net Gain(Loss) -$ -$ -$

UConn Health

Reductions in personnel costs and increased patient revenue offset State cuts

December 13 2017 23

Appendix

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

FY18 Revenue by CategoryState support is an important and significant piece of the budget however in FY18 tuition will be the largest revenue source at over 30 of total revenues

Note Use of decimals may result in rounding differences

Appropriation 1913 Fringe Benefits amp Adjustments 1358 Total State Support 3272$ Tuition 3984 Fees 1365 Grants amp Contracts 825 FoundationEndowment 210 Sales amp Services 199 Auxiliary Enterprise Revenue 2201 Other Revenue 139

Total Operating Fund 12194$

Research Fund 1066

Total Current Funds Revenues 13261$

Revenues ($M)

State Support247

Tuition300

Fees 103

Grants amp Contracts

62

Foundation 16Sales amp Services

15 Auxiliary Enterprise Revenue

166

Research Fund 78

Other Revenue

11

Storrs and Regionals

Tuition and Fees make up more than 40 of UConnrsquos budgeted revenues

December 13 2017 16

Tuition Revenue

FY17 was the first year that tuition surpassed State support as the largest revenue source The gap grows significantly in FY18 and FY19

$2461 $2599

$2698 $2904

$3197

$3534

$3775 $3984

$4220

$3290

$2824 $2885

$3081

$3507

$3845

$3740

$3272 $3314

$225

$260

$295

$330

$365

$400

$435

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18Budget

FY19Budget

State Support and Tuition Revenue

Tuition

State Support

$91M

Storrs and Regionals

UConn enrollment growth and increased rates have resulted in overall tuition revenue increases

December 13 2017 17

FY18 Expense by Category

Note Use of decimals may result in rounding differences

Salary and Fringe Benefits are the largest expense for the University at 563 of the total with Other Expenses accounting for 158 and Financial Aid at 13

Personal Services 4947 Fringe Benefits 2513 Other Expenses 2105 Energy 229 Equipment 205 Student Financial Aid 1727 Debt ServiceProjects 449 Total Operating Fund 12175$

Research Fund 1080

Total Operating Expenditures 13255$

Expenditures ($M)

Personal Services373

Fringe Benefits

190

Other Expenses

158

Energy17

Equipment15

Student Financial Aid

130

Debt ServiceProjects

34

Research Fund 81

Storrs and Regionals

Personnel costs represent more than 56 of the overall expense budget UConn will continue to restrict hiring and closely watch any spending to help maintain the balanced budget

December 13 2017 18

Rising Costs - Salary Expenses

Between FY11 and FY18 mandated salary increases due to union agreements cost UConn about $68M or 83 of the total salary growth

Other this category includes classified non-faculty professional (UCPEA) management confidential graduate assistant student amp special payroll

The majority of the growth in FY18 is due to graduate assistant contractual increases and additional police Per the SEBAC agreement FY18 includes no facultystaff salary increases

Salary Expenses ($M)

Storrs and Regionals

December 13 2017 19

$279 $272 $285 $305 $317 $326 $321 $320

$134 $143 $141$157 $166 $171 $175 $175

$0

$100

$200

$300

$400

$500

$600

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18

FacultyAAUP

Other

$413 $414

$496

$425$462 $483 $497 $495

Revised Spending PlanUConn Health

State Budget CutsUConn Health

Compared to the BOT approved budget in June the negotiated State budget is an overall cut of $111M

December 13 2017 21

Updated FY18 Spending Plan

(Cash Sources and Uses)

Appropriation 1177 Personal Services 3912 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Total State Support 2234$ Correctional Managed Health Care 804 Tuition 200 DrugsMedical Supplies 852 Fees 44 Other Expenses 2147 Grants amp Contracts 849 Debt ServiceProjects 174 InternsResidents 667 Total Operating Fund 10211$ Net Patient Revenue 4827 Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Other Revenue 586

Total Operating Fund 10211$ Total Operating Expenditures 10895$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$ Net Gain(Loss) -$

Revenues ($M) Expenditures ($M)

UConn Health

UConn Health has achieved a balanced budget by implementing spending cuts restricting hiring and identifying new revenue streams

December 13 2017 22

FY18 Comparison

(Cash Sources and Uses)FY18

Original BOT Budget ($M)

FY18 Revised

Budget ($M)

Favorable (Unfavorable)

($M) NotesAppropriation 1254 1177 (77) Reduction in workers compensation and lapsesFringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe ratesTotal State Support 2260$ 2234$ (26)$ Tuition 200 200 - Fees 44 44 - Grants amp Contracts 872 849 (23) First quarter resultsInternsResidents 667 667 - Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter resultsCorrectional Managed Health Care 804 804 - Other Revenue 576 586 10 First quarter results - retail pharmacy Total Operating Fund 10174$ 10211$ 37$

Research and Restricted Funds 684 684 -

Total Current Funds Revenues 10858$ 10895$ 37$

Personal Services 3896 3912 (16) Implementation of final SEBAC provisionsFringe Benefits 2288 2322 (34) Implementation of final SEBAC provisionsCorrectional Managed Health Care 804 804 - DrugsMedical Supplies 847 852 (05) First quarter resultsOther Expenses 2165 2147 18 First quarter resultsDebt ServiceProjects 174 174 (00) Total Operating Fund 10174$ 10211$ (37)$

Research and Restricted Expenditures 684 684 -

Total Operating Expenditures 10858$ 10895$ (37)$

Net Gain(Loss) -$ -$ -$

UConn Health

Reductions in personnel costs and increased patient revenue offset State cuts

December 13 2017 23

Appendix

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

Tuition Revenue

FY17 was the first year that tuition surpassed State support as the largest revenue source The gap grows significantly in FY18 and FY19

$2461 $2599

$2698 $2904

$3197

$3534

$3775 $3984

$4220

$3290

$2824 $2885

$3081

$3507

$3845

$3740

$3272 $3314

$225

$260

$295

$330

$365

$400

$435

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18Budget

FY19Budget

State Support and Tuition Revenue

Tuition

State Support

$91M

Storrs and Regionals

UConn enrollment growth and increased rates have resulted in overall tuition revenue increases

December 13 2017 17

FY18 Expense by Category

Note Use of decimals may result in rounding differences

Salary and Fringe Benefits are the largest expense for the University at 563 of the total with Other Expenses accounting for 158 and Financial Aid at 13

Personal Services 4947 Fringe Benefits 2513 Other Expenses 2105 Energy 229 Equipment 205 Student Financial Aid 1727 Debt ServiceProjects 449 Total Operating Fund 12175$

Research Fund 1080

Total Operating Expenditures 13255$

Expenditures ($M)

Personal Services373

Fringe Benefits

190

Other Expenses

158

Energy17

Equipment15

Student Financial Aid

130

Debt ServiceProjects

34

Research Fund 81

Storrs and Regionals

Personnel costs represent more than 56 of the overall expense budget UConn will continue to restrict hiring and closely watch any spending to help maintain the balanced budget

December 13 2017 18

Rising Costs - Salary Expenses

Between FY11 and FY18 mandated salary increases due to union agreements cost UConn about $68M or 83 of the total salary growth

Other this category includes classified non-faculty professional (UCPEA) management confidential graduate assistant student amp special payroll

The majority of the growth in FY18 is due to graduate assistant contractual increases and additional police Per the SEBAC agreement FY18 includes no facultystaff salary increases

Salary Expenses ($M)

Storrs and Regionals

December 13 2017 19

$279 $272 $285 $305 $317 $326 $321 $320

$134 $143 $141$157 $166 $171 $175 $175

$0

$100

$200

$300

$400

$500

$600

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18

FacultyAAUP

Other

$413 $414

$496

$425$462 $483 $497 $495

Revised Spending PlanUConn Health

State Budget CutsUConn Health

Compared to the BOT approved budget in June the negotiated State budget is an overall cut of $111M

December 13 2017 21

Updated FY18 Spending Plan

(Cash Sources and Uses)

Appropriation 1177 Personal Services 3912 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Total State Support 2234$ Correctional Managed Health Care 804 Tuition 200 DrugsMedical Supplies 852 Fees 44 Other Expenses 2147 Grants amp Contracts 849 Debt ServiceProjects 174 InternsResidents 667 Total Operating Fund 10211$ Net Patient Revenue 4827 Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Other Revenue 586

Total Operating Fund 10211$ Total Operating Expenditures 10895$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$ Net Gain(Loss) -$

Revenues ($M) Expenditures ($M)

UConn Health

UConn Health has achieved a balanced budget by implementing spending cuts restricting hiring and identifying new revenue streams

December 13 2017 22

FY18 Comparison

(Cash Sources and Uses)FY18

Original BOT Budget ($M)

FY18 Revised

Budget ($M)

Favorable (Unfavorable)

($M) NotesAppropriation 1254 1177 (77) Reduction in workers compensation and lapsesFringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe ratesTotal State Support 2260$ 2234$ (26)$ Tuition 200 200 - Fees 44 44 - Grants amp Contracts 872 849 (23) First quarter resultsInternsResidents 667 667 - Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter resultsCorrectional Managed Health Care 804 804 - Other Revenue 576 586 10 First quarter results - retail pharmacy Total Operating Fund 10174$ 10211$ 37$

Research and Restricted Funds 684 684 -

Total Current Funds Revenues 10858$ 10895$ 37$

Personal Services 3896 3912 (16) Implementation of final SEBAC provisionsFringe Benefits 2288 2322 (34) Implementation of final SEBAC provisionsCorrectional Managed Health Care 804 804 - DrugsMedical Supplies 847 852 (05) First quarter resultsOther Expenses 2165 2147 18 First quarter resultsDebt ServiceProjects 174 174 (00) Total Operating Fund 10174$ 10211$ (37)$

Research and Restricted Expenditures 684 684 -

Total Operating Expenditures 10858$ 10895$ (37)$

Net Gain(Loss) -$ -$ -$

UConn Health

Reductions in personnel costs and increased patient revenue offset State cuts

December 13 2017 23

Appendix

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

FY18 Expense by Category

Note Use of decimals may result in rounding differences

Salary and Fringe Benefits are the largest expense for the University at 563 of the total with Other Expenses accounting for 158 and Financial Aid at 13

Personal Services 4947 Fringe Benefits 2513 Other Expenses 2105 Energy 229 Equipment 205 Student Financial Aid 1727 Debt ServiceProjects 449 Total Operating Fund 12175$

Research Fund 1080

Total Operating Expenditures 13255$

Expenditures ($M)

Personal Services373

Fringe Benefits

190

Other Expenses

158

Energy17

Equipment15

Student Financial Aid

130

Debt ServiceProjects

34

Research Fund 81

Storrs and Regionals

Personnel costs represent more than 56 of the overall expense budget UConn will continue to restrict hiring and closely watch any spending to help maintain the balanced budget

December 13 2017 18

Rising Costs - Salary Expenses

Between FY11 and FY18 mandated salary increases due to union agreements cost UConn about $68M or 83 of the total salary growth

Other this category includes classified non-faculty professional (UCPEA) management confidential graduate assistant student amp special payroll

The majority of the growth in FY18 is due to graduate assistant contractual increases and additional police Per the SEBAC agreement FY18 includes no facultystaff salary increases

Salary Expenses ($M)

Storrs and Regionals

December 13 2017 19

$279 $272 $285 $305 $317 $326 $321 $320

$134 $143 $141$157 $166 $171 $175 $175

$0

$100

$200

$300

$400

$500

$600

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18

FacultyAAUP

Other

$413 $414

$496

$425$462 $483 $497 $495

Revised Spending PlanUConn Health

State Budget CutsUConn Health

Compared to the BOT approved budget in June the negotiated State budget is an overall cut of $111M

December 13 2017 21

Updated FY18 Spending Plan

(Cash Sources and Uses)

Appropriation 1177 Personal Services 3912 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Total State Support 2234$ Correctional Managed Health Care 804 Tuition 200 DrugsMedical Supplies 852 Fees 44 Other Expenses 2147 Grants amp Contracts 849 Debt ServiceProjects 174 InternsResidents 667 Total Operating Fund 10211$ Net Patient Revenue 4827 Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Other Revenue 586

Total Operating Fund 10211$ Total Operating Expenditures 10895$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$ Net Gain(Loss) -$

Revenues ($M) Expenditures ($M)

UConn Health

UConn Health has achieved a balanced budget by implementing spending cuts restricting hiring and identifying new revenue streams

December 13 2017 22

FY18 Comparison

(Cash Sources and Uses)FY18

Original BOT Budget ($M)

FY18 Revised

Budget ($M)

Favorable (Unfavorable)

($M) NotesAppropriation 1254 1177 (77) Reduction in workers compensation and lapsesFringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe ratesTotal State Support 2260$ 2234$ (26)$ Tuition 200 200 - Fees 44 44 - Grants amp Contracts 872 849 (23) First quarter resultsInternsResidents 667 667 - Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter resultsCorrectional Managed Health Care 804 804 - Other Revenue 576 586 10 First quarter results - retail pharmacy Total Operating Fund 10174$ 10211$ 37$

Research and Restricted Funds 684 684 -

Total Current Funds Revenues 10858$ 10895$ 37$

Personal Services 3896 3912 (16) Implementation of final SEBAC provisionsFringe Benefits 2288 2322 (34) Implementation of final SEBAC provisionsCorrectional Managed Health Care 804 804 - DrugsMedical Supplies 847 852 (05) First quarter resultsOther Expenses 2165 2147 18 First quarter resultsDebt ServiceProjects 174 174 (00) Total Operating Fund 10174$ 10211$ (37)$

Research and Restricted Expenditures 684 684 -

Total Operating Expenditures 10858$ 10895$ (37)$

Net Gain(Loss) -$ -$ -$

UConn Health

Reductions in personnel costs and increased patient revenue offset State cuts

December 13 2017 23

Appendix

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

Rising Costs - Salary Expenses

Between FY11 and FY18 mandated salary increases due to union agreements cost UConn about $68M or 83 of the total salary growth

Other this category includes classified non-faculty professional (UCPEA) management confidential graduate assistant student amp special payroll

The majority of the growth in FY18 is due to graduate assistant contractual increases and additional police Per the SEBAC agreement FY18 includes no facultystaff salary increases

Salary Expenses ($M)

Storrs and Regionals

December 13 2017 19

$279 $272 $285 $305 $317 $326 $321 $320

$134 $143 $141$157 $166 $171 $175 $175

$0

$100

$200

$300

$400

$500

$600

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18

FacultyAAUP

Other

$413 $414

$496

$425$462 $483 $497 $495

Revised Spending PlanUConn Health

State Budget CutsUConn Health

Compared to the BOT approved budget in June the negotiated State budget is an overall cut of $111M

December 13 2017 21

Updated FY18 Spending Plan

(Cash Sources and Uses)

Appropriation 1177 Personal Services 3912 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Total State Support 2234$ Correctional Managed Health Care 804 Tuition 200 DrugsMedical Supplies 852 Fees 44 Other Expenses 2147 Grants amp Contracts 849 Debt ServiceProjects 174 InternsResidents 667 Total Operating Fund 10211$ Net Patient Revenue 4827 Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Other Revenue 586

Total Operating Fund 10211$ Total Operating Expenditures 10895$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$ Net Gain(Loss) -$

Revenues ($M) Expenditures ($M)

UConn Health

UConn Health has achieved a balanced budget by implementing spending cuts restricting hiring and identifying new revenue streams

December 13 2017 22

FY18 Comparison

(Cash Sources and Uses)FY18

Original BOT Budget ($M)

FY18 Revised

Budget ($M)

Favorable (Unfavorable)

($M) NotesAppropriation 1254 1177 (77) Reduction in workers compensation and lapsesFringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe ratesTotal State Support 2260$ 2234$ (26)$ Tuition 200 200 - Fees 44 44 - Grants amp Contracts 872 849 (23) First quarter resultsInternsResidents 667 667 - Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter resultsCorrectional Managed Health Care 804 804 - Other Revenue 576 586 10 First quarter results - retail pharmacy Total Operating Fund 10174$ 10211$ 37$

Research and Restricted Funds 684 684 -

Total Current Funds Revenues 10858$ 10895$ 37$

Personal Services 3896 3912 (16) Implementation of final SEBAC provisionsFringe Benefits 2288 2322 (34) Implementation of final SEBAC provisionsCorrectional Managed Health Care 804 804 - DrugsMedical Supplies 847 852 (05) First quarter resultsOther Expenses 2165 2147 18 First quarter resultsDebt ServiceProjects 174 174 (00) Total Operating Fund 10174$ 10211$ (37)$

Research and Restricted Expenditures 684 684 -

Total Operating Expenditures 10858$ 10895$ (37)$

Net Gain(Loss) -$ -$ -$

UConn Health

Reductions in personnel costs and increased patient revenue offset State cuts

December 13 2017 23

Appendix

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

Revised Spending PlanUConn Health

State Budget CutsUConn Health

Compared to the BOT approved budget in June the negotiated State budget is an overall cut of $111M

December 13 2017 21

Updated FY18 Spending Plan

(Cash Sources and Uses)

Appropriation 1177 Personal Services 3912 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Total State Support 2234$ Correctional Managed Health Care 804 Tuition 200 DrugsMedical Supplies 852 Fees 44 Other Expenses 2147 Grants amp Contracts 849 Debt ServiceProjects 174 InternsResidents 667 Total Operating Fund 10211$ Net Patient Revenue 4827 Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Other Revenue 586

Total Operating Fund 10211$ Total Operating Expenditures 10895$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$ Net Gain(Loss) -$

Revenues ($M) Expenditures ($M)

UConn Health

UConn Health has achieved a balanced budget by implementing spending cuts restricting hiring and identifying new revenue streams

December 13 2017 22

FY18 Comparison

(Cash Sources and Uses)FY18

Original BOT Budget ($M)

FY18 Revised

Budget ($M)

Favorable (Unfavorable)

($M) NotesAppropriation 1254 1177 (77) Reduction in workers compensation and lapsesFringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe ratesTotal State Support 2260$ 2234$ (26)$ Tuition 200 200 - Fees 44 44 - Grants amp Contracts 872 849 (23) First quarter resultsInternsResidents 667 667 - Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter resultsCorrectional Managed Health Care 804 804 - Other Revenue 576 586 10 First quarter results - retail pharmacy Total Operating Fund 10174$ 10211$ 37$

Research and Restricted Funds 684 684 -

Total Current Funds Revenues 10858$ 10895$ 37$

Personal Services 3896 3912 (16) Implementation of final SEBAC provisionsFringe Benefits 2288 2322 (34) Implementation of final SEBAC provisionsCorrectional Managed Health Care 804 804 - DrugsMedical Supplies 847 852 (05) First quarter resultsOther Expenses 2165 2147 18 First quarter resultsDebt ServiceProjects 174 174 (00) Total Operating Fund 10174$ 10211$ (37)$

Research and Restricted Expenditures 684 684 -

Total Operating Expenditures 10858$ 10895$ (37)$

Net Gain(Loss) -$ -$ -$

UConn Health

Reductions in personnel costs and increased patient revenue offset State cuts

December 13 2017 23

Appendix

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

State Budget CutsUConn Health

Compared to the BOT approved budget in June the negotiated State budget is an overall cut of $111M

December 13 2017 21

Updated FY18 Spending Plan

(Cash Sources and Uses)

Appropriation 1177 Personal Services 3912 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Total State Support 2234$ Correctional Managed Health Care 804 Tuition 200 DrugsMedical Supplies 852 Fees 44 Other Expenses 2147 Grants amp Contracts 849 Debt ServiceProjects 174 InternsResidents 667 Total Operating Fund 10211$ Net Patient Revenue 4827 Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Other Revenue 586

Total Operating Fund 10211$ Total Operating Expenditures 10895$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$ Net Gain(Loss) -$

Revenues ($M) Expenditures ($M)

UConn Health

UConn Health has achieved a balanced budget by implementing spending cuts restricting hiring and identifying new revenue streams

December 13 2017 22

FY18 Comparison

(Cash Sources and Uses)FY18

Original BOT Budget ($M)

FY18 Revised

Budget ($M)

Favorable (Unfavorable)

($M) NotesAppropriation 1254 1177 (77) Reduction in workers compensation and lapsesFringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe ratesTotal State Support 2260$ 2234$ (26)$ Tuition 200 200 - Fees 44 44 - Grants amp Contracts 872 849 (23) First quarter resultsInternsResidents 667 667 - Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter resultsCorrectional Managed Health Care 804 804 - Other Revenue 576 586 10 First quarter results - retail pharmacy Total Operating Fund 10174$ 10211$ 37$

Research and Restricted Funds 684 684 -

Total Current Funds Revenues 10858$ 10895$ 37$

Personal Services 3896 3912 (16) Implementation of final SEBAC provisionsFringe Benefits 2288 2322 (34) Implementation of final SEBAC provisionsCorrectional Managed Health Care 804 804 - DrugsMedical Supplies 847 852 (05) First quarter resultsOther Expenses 2165 2147 18 First quarter resultsDebt ServiceProjects 174 174 (00) Total Operating Fund 10174$ 10211$ (37)$

Research and Restricted Expenditures 684 684 -

Total Operating Expenditures 10858$ 10895$ (37)$

Net Gain(Loss) -$ -$ -$

UConn Health

Reductions in personnel costs and increased patient revenue offset State cuts

December 13 2017 23

Appendix

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

Updated FY18 Spending Plan

(Cash Sources and Uses)

Appropriation 1177 Personal Services 3912 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Total State Support 2234$ Correctional Managed Health Care 804 Tuition 200 DrugsMedical Supplies 852 Fees 44 Other Expenses 2147 Grants amp Contracts 849 Debt ServiceProjects 174 InternsResidents 667 Total Operating Fund 10211$ Net Patient Revenue 4827 Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Other Revenue 586

Total Operating Fund 10211$ Total Operating Expenditures 10895$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$ Net Gain(Loss) -$

Revenues ($M) Expenditures ($M)

UConn Health

UConn Health has achieved a balanced budget by implementing spending cuts restricting hiring and identifying new revenue streams

December 13 2017 22

FY18 Comparison

(Cash Sources and Uses)FY18

Original BOT Budget ($M)

FY18 Revised

Budget ($M)

Favorable (Unfavorable)

($M) NotesAppropriation 1254 1177 (77) Reduction in workers compensation and lapsesFringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe ratesTotal State Support 2260$ 2234$ (26)$ Tuition 200 200 - Fees 44 44 - Grants amp Contracts 872 849 (23) First quarter resultsInternsResidents 667 667 - Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter resultsCorrectional Managed Health Care 804 804 - Other Revenue 576 586 10 First quarter results - retail pharmacy Total Operating Fund 10174$ 10211$ 37$

Research and Restricted Funds 684 684 -

Total Current Funds Revenues 10858$ 10895$ 37$

Personal Services 3896 3912 (16) Implementation of final SEBAC provisionsFringe Benefits 2288 2322 (34) Implementation of final SEBAC provisionsCorrectional Managed Health Care 804 804 - DrugsMedical Supplies 847 852 (05) First quarter resultsOther Expenses 2165 2147 18 First quarter resultsDebt ServiceProjects 174 174 (00) Total Operating Fund 10174$ 10211$ (37)$

Research and Restricted Expenditures 684 684 -

Total Operating Expenditures 10858$ 10895$ (37)$

Net Gain(Loss) -$ -$ -$

UConn Health

Reductions in personnel costs and increased patient revenue offset State cuts

December 13 2017 23

Appendix

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

FY18 Comparison

(Cash Sources and Uses)FY18

Original BOT Budget ($M)

FY18 Revised

Budget ($M)

Favorable (Unfavorable)

($M) NotesAppropriation 1254 1177 (77) Reduction in workers compensation and lapsesFringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe ratesTotal State Support 2260$ 2234$ (26)$ Tuition 200 200 - Fees 44 44 - Grants amp Contracts 872 849 (23) First quarter resultsInternsResidents 667 667 - Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter resultsCorrectional Managed Health Care 804 804 - Other Revenue 576 586 10 First quarter results - retail pharmacy Total Operating Fund 10174$ 10211$ 37$

Research and Restricted Funds 684 684 -

Total Current Funds Revenues 10858$ 10895$ 37$

Personal Services 3896 3912 (16) Implementation of final SEBAC provisionsFringe Benefits 2288 2322 (34) Implementation of final SEBAC provisionsCorrectional Managed Health Care 804 804 - DrugsMedical Supplies 847 852 (05) First quarter resultsOther Expenses 2165 2147 18 First quarter resultsDebt ServiceProjects 174 174 (00) Total Operating Fund 10174$ 10211$ (37)$

Research and Restricted Expenditures 684 684 -

Total Operating Expenditures 10858$ 10895$ (37)$

Net Gain(Loss) -$ -$ -$

UConn Health

Reductions in personnel costs and increased patient revenue offset State cuts

December 13 2017 23

Appendix

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

Appendix

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

State Support

UConn Storrs and Regionals amp UConn Health have sustained $1638M in State reductions lost fringe and fund sweeps since 2010 ($1044M for Storrs and $594M for UCH)

Reductions = lapses rescissions and deficit mitigation

Appropriation Reduction Actual Allotment

Lost Fringe due to Reduction

Fund Sweeps Total Cut

FY10 3543 (35) 3508 (17) (180) (232) FY11 3523 (06) 3517 (03) (250) (259) FY12 3174 (33) 3141 (17) - (50) FY13 3188 (144) 3044 (72) - (216) FY14 3289 (13) 3276 (07) - (20) FY15 3650 (116) 3534 (61) - (177) FY16 3875 (30) 3845 (25) (172) (227) FY17 3644 (145) 3499 (98) - (243) FY18 3217 (126) 3091 (88) - (214) TOTAL $ (648) $ (388) $ (602) $ (1638)

UConn TOTAL - Combined Reductions Fringe (lost) and Fund Sweeps ($M)

December 13 2017 25

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

FY18 Revenue by Category

Appropriation 1177 Fringe Benefits amp Adjustments 1057 Total State Support 2234$ Tuition 200 Fees 44 Grants amp Contracts 849 InternsResidents 667 Net Patient Revenue 4827 Correctional Managed Health Care 804 Other Revenue 586

Total Operating Fund 10211$

Research and Restricted Funds 684

Total Current Funds Revenues 10895$

Revenues ($M)

UConn Health

State support is the second largest revenue source at 22 of total revenue

December 13 2017 26

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Appropriation

1177

Fringe Benefits amp Adjustments

1057

Total State Support

2234

$

Tuition

200

Fees

44

Revenues ($M)

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

FY18 Expense by Category

Personal Services 3912 Fringe Benefits 2322 Correctional Managed Health Care 804 DrugsMedical Supplies 852 Other Expenses 2147 Debt ServiceProjects 174 Total Operating Fund 10211$

Research and Restricted Expenditur 684

Total Operating Expenditures 10895$

Expenditures ($M)

Personal Services

36

Fringe Benefits21Correctional

Managed Health Care7

DrugsMedical Supplies

8

Other Expenses20

Debt ServiceProjects

2

Research and Restricted

Expenditures6

UConn Health

Personnel costs make up 57 of UConn Healthrsquos overall expenditure budget

December 13 2017 27

Orig proj vs final

Orig Projection

FY14FY15FY16FY17FY18-21-259-40-481-594Final Budget

FY14FY15FY16FY17FY18-11-125-159-159-18399999999999999ActualsForecast

FY14FY15FY16FY17FY18-155-29-126-197

Bottom line

Profit (Loss)

FY13 - FY18

UCH Profit (Loss)FY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget-72032769999999999-15458140999999999-28764539999999998-12564848-19688714999999998-594

Assumptions

FY17 Forecast

FY18 Assumptions ($59M)

FY18 Target

FY18 Budget (cash)

FY18 Budget (PampL)

BOT spending report

FY18 Budget (cash comparison)

Revenue chart

State SupportTuitionFeesGrants amp ContractsInternsResidentsNet Patient RevenueCorrectional Managed Health CareOther Revenue22342044000000000000004849667482780400000000000006586

expense chart

Personal ServicesFringe BenefitsCorrectional Managed Health CareDrugsMedical SuppliesOther ExpensesDebt ServiceProjectsResearch and Restricted Expenditures391223228040000000000000685221471740126000000000168400000000000006

Appropriation revision

amp8ampK00-024ampZampF

Differences in rates FY18 orig budget used 74 as a rate When estimating for medicagov relations Uconn storrs suggested we use the same rate at 69

For the revised BODBOT presentations used the 816 rate with the new appropriation

FY18 Capital

FY17 Forecast (PampL)

FY17 Forecast (cash)

FY19 Estimated Budget

State Appropriation

Appropriation

FY18 Gov $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18118972138119346347109669578112666627125542313135366969144290800134539312125474563 AllotmentFY10FY11FY12FY13FY14FY15FY16FY17FY18117734347119166814108458794108519733125018941131158966143898479130030646Democratic budget

FY18 Dem $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312126820354Republican budget

FY18 Rep $[VALUE]

FY10FY11FY12FY13FY14FY15FY16FY17FY18134539312115249782

state support vs patient rev

State Support and Net Patient Revenue

Net Patient Revenue

FY13FY14FY15FY16FY17 ForecastFY18 Budget358367701372814684431182934452366520457724062475098373Total State Support

FY13FY14FY15FY16FY17 ForecastFY18 Budget173192257213854874226796933235291486222513422218446953

FY17 vs FY18 Budget

Sebac

Salary increases fac vs staff

Salary Expense ($M)

Faculty

201220132014201520162017 Forecast2018 Budget10730906310675877011258533911815635512336023712232893712468154592All Other Staff

201220132014201520162017 Forecast2018 Budget23385714823276053724060451024797392226323237126199454026494828507999998

fb differential

John Dempsey Hospital vs Connecticut Hospital Association Fringe Rate

CHA rate

20052010201120122013201420152016201720180273899999999999980295403014031080000000000002030609999999999998028799999999999998028789999999999999029399999999999998029987999999999998030587759999999997JDH rate

2005201020112012201320142015201620172018038719999999999999044280000000000003044080000000000003043409999999999999046100989118483643053266397642863328054479050264180173057442497383828672059146205947123043066300000000000003

Fringe Benefit DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget135000001350000013500000135000001350000013500000Actual Hospital DifferentialFY 2013FY 2014FY 2015FY 2016FY 2017 ForecastFY2018 Budget170612883784000022559753009600000127567138709199995328022674020000063467286594704000743315787

Budget reduction enhancement

image1png

1

2

3

4

5

6

7

8

9

A

B

C

Personal Services

3912

Fringe Benefits

2322

Correctional Managed Health Care

804

DrugsMedical Supplies

852

Other Expenses

2147

Expenditures ($M)

  • Slide Number 1
  • Agenda
  • State Budget Cuts to UConn
  • FY18 Comparison from June Budget
  • Balancing the Budget in FY18
  • Revised FY18 Spending Plan
  • Impact of Cuts to UConn
  • UConn Successes At Risk
  • Long Term Financial Challenges
  • Slide Number 10
  • FY18 Budget Cuts
  • Revised FY18 Spending Plan
  • State Appropriation
  • UConn Growth Since 2004
  • FY18 Comparison
  • FY18 Revenue by Category
  • Tuition Revenue
  • FY18 Expense by Category
  • Rising Costs - Salary Expenses
  • Slide Number 20
  • State Budget Cuts
  • Slide Number 22
  • Slide Number 23
  • Slide Number 24
  • State Support
  • Slide Number 26
  • Slide Number 27
FY18 Bottom Line - Original Projection (5940)
Other revenue 320
Institutional workforce 1100
Purchased services 050
Other expenses 040
Net patient revenue 990
Clinical workforce planning 470
Clinical non labor 010
Clinical revenue cycle 090
State support (Governors revised budget) (240)
SEBAC (estimated savings) 1270
FY18 Bottom line - Proposed Budget (1840)
1) Comparison of Fringe rate with CHA average
2) Fringe differential compared to actual hospital differential
note fy18 was updated to match proposed budget rate of 663
John Dempsey Hospital vs Connecticut Hospital Association Fringe
FY CHA rate JDH rate
2005 274 387
2006 289 371
2007 277 401
2008 280 411
2009 271 412
2010 295 443
2011 301 441
2012 311 434
2013 306 461
2014 288 533
2015 288 545
2016 294 574
2017 300 591
2018 306 663
Plan Description FY2010-11 FY2011-12 FY2012-13 FY2013-14 FY2014-15 FY2015-16 FY2016-17 FY2017-2018 Estimates
Alternate Retirement Program (ARP) 1003 818 917 1120 1170 1199 1193 1300
SERS Hazardous Duty 3719 3687 4871 5895 6243 6251 6994 8900
SERS Retirement Regular 4000 3941 4601 5471 5050 5358 5499 6100
Unemployment Compensation 016 020 026 012 015 012 006 026
8738 8466 10415 12498 12478 12820 13692 16326
-31 230 200 -02 27 68 192
SERS Retirement Regular Rate Increases 167 189 -77 61 26 109
Average increase for Health insurance (approximate amounts) 850 14 6 4 6
FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (26272245) (23382917) (22965602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Deficiency Appropriation 22100000 21900000 22200000 - 0 - 0 - 0 - 0 - 0 - 0 - 0 - 0
Bioscience CT - 0 - 0 - 0 - 0 - 0 - 0 500000 11900724 16765958 12458333 10857600
Fringe Benefit Differential - 0 - 0 3600000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000 13500000
State Approp 78614491 96797174 106012205 117734347 119166814 108458794 108019733 113118217 114393008 123432329 111649501
UCH Profit (Loss)-after Deficiency Approp (4172245) (1482917) (765602) 3992933 3961289 (2922761) (7203277) (15458141) (2876454) (12564848) (21554857)
Actual Hospital Differential 17061288 25597530 27567139 32802267 34672866 43315787
FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Forecast
Debt Service (MARB and Outpatient Pavilion) 7007001 12044165 15985039 15985039 16021543
includes MRI in FY18
48463620 142
2012 2013 2014 2015 2016 2017 Forecast 2018 Budget
All Position Codes - - Incumbant 341166211 339519307 353189850 366130278 386592608 384323477 389629831 114
Faculty 107309063 106758770 112585339 118156355 123360237 122328937 124681546
All Other Staff 233857148 232760537 240604510 247973922 263232371 261994540 264948285
Proposal Additional Information FY17 Cost FY18 Cost ($M) FY19 Cost ($M) FY20 Cost ($M) FY21 Cost ($M) Total Cost ($M)
Wage Increase Unions 0 hard freeze FY17FY18FY19$2000 one time stipend in FY1935 + [step Increase] in FY20 FY21 Includes Fringe Benefits $ - 0 $ - 0 $ 160 $ - 0 $ - 0 $ 160
Furlough Days Unions 3 Furlough Days in FY18 Includes Fringe Benefits $ - 0 $ (34) $ - 0 $ - 0 $ - 0 $ (34)
Delay Longevity Payment Unions Delay longevity payment in FY18 Need additional confirmation but assumption is that April 2018 longevity payment delayed to FY19 $ - 0 $ (14) $ 14 $ - 0 $ - 0 $ - 0
Subtotal Wage Impact (including associated fringe benefits) $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
Health Insurance - Increase in employee share of premium Unions - Increase 1 each year in FY20FY21FY22 for existing employees - New employes at 15 - Mgmt already at 23 Uconns share of the premium will decrease by 1 Will impact fringe cost $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Mgmt No change Management share increasing in FY18 to 23 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Fringe Rate Impact All other Pension and Healthcare changes IMPACT UNKNOWN This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact OPM provided an estimated reduction to SERS rate of 6 $ - 0
Retiree Healthcare Retiree COLA health contribution and Medicare changes This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Contribution FY18 FY19 = Increase pension contribution by 15FY20 FY21 = Increase pension contribution by additional 05 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
Pension - Tier IV Hybrid pensiondefined contribution State will match 1 This should ultimately reduce fringe costs but additional information and further analysis is required to understand full impact $ - 0
TOTAL COST(SAVINGS) - UNION EMPLOYEES $ - 0 $ (48) $ 174 $ - 0 $ - 0 $ 126
FY17 Forecast ($M) FY18 Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1218 1178 (40) Governors revised budget
Fringe Benefits amp Adjustments 1007 1006 (01)
Total State Support $ 2225 $ 2183
Tuition and Fees 233 244 11 Approved tuition rate increase of 45
Grants amp Contracts 864 872 08 Research grant revenue remains flat
InternsResidents 630 667 37 Growth in revenue offset by increased expenses
Net Patient Revenue 4577 4751 174 38 increase
Correctional Managed Health Care 835 804 (31)
Other Revenue 517 576 60
Total Operating Revenues $ 9880 $ 10098 $ 259
Personal Services 3843 3896 53 Increase is related to mid year hires in FY17
Fringe Benefits 2046 2211 165 estimated Comprollers fringe rates used
Correctional Managed Health Care 835 804 (31)
DrugsMedical Supplies 823 847 24 increase in drugsmedicals supplies related to increase in volume
Other Expenses 2530 2165 (365)
Debt ServiceProjects - 0 - 0 - 0
Total Operating Expenses 10077 9924 (154)
Net Gain(Loss) (197) 1740 4125
Net Patient Revenue Total State Support Net Patient Revenue Total State Support
FY13 358367701 173192257 3584 1732
FY14 372814684 213854874 3728 2139
FY15 431182934 226796933 4312 2231
FY16 452366520 235291486 4524 2353
FY17 Forecast 457724062 222513422 4577 2225
FY18 Budget 475098373 218446953 4751 2184
per TM1 per TM
Fiscal Year Appropriation Allotment Democratic budget Republican budget
FY10 118972138 117734347
FY11 119346347 119166814
FY12 109669578 108458794
FY13 112666627 108519733
FY14 125542313 125018941
FY15 135366969 131158966
FY16 144290800 143898479
FY17 134539312 130030646 134539312 134539312
FY18 125474563 126820354 115249782
FY18 Budget Target $ (184)
SEBAC estimated costs
Three furlough day savings not in FY19 (34)
Longevity (postponed in FY18) (28)
Lump Sum payments (estimated $2000) (160)
Appropriation (Governors Recommended) 55
Clinical revenue 90
FY19 Estimated Budget $ (261)
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Original Forecast variance
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Total Operating Revenue 77320 76560 (760)
Total State Support $ 2225 Correctional Managed Health Care 835 State Support 22470 22250 (220)
Tuition and Fees 233 DrugsMedical Supplies 823 Restricted Capital Balances
Grants amp Contracts 864 Other Expenses 2152 Use Allowance 560 200 (360) 1820
InternsResidents 630 Debt ServiceProjects 169 State Bond Funds 4440 2640 (1800) use fy18 carryforward
Net Patient Revenue 4577 Total Operating Fund $ 9868 Departmental Grant Funds 100 100 - 0
Correctional Managed Health Care 835
Other Revenue 517 Research and Restricted Expenditures 294 Total Available for Spending 104890 101750 (3140)
Total Operating Fund $ 9881 Total Operating Expenditures $ 10162 Total Operating Expenses (less depreciation) 97640 96990 (650)
Current Approved Capital Projects 250 250 - 0 balances carried into FY18
Research and Restricted Funds 294 Working Capital Needs 200 200 - 0 State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173)
FY 2017 Capital Spending 1200 690 (510) Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13)
Total Current Funds Revenues $ 10175 Net Gain(Loss) $ 13 State Bond Funds 4390 2640 (1750) Health Disparity 1166252 cash balance (orig amt 25M in FY13)
Use Allowance 560 200 (360) 26423247
Departmental Grant Funds 100 100 - 0
Principal Payment on Debt 550 550 - 0
Total Spending Plan 104890 101620 (3270)
Excess(Deficiency) - 0 130 130
FY17 Capital Budget Pools
Dept Name Description of Equipment or Project Original Budget Source of Funds balance as of June 2017 spent epic
Information Tech EPIC Project (1) 3500000 Operating 2500000 1000000 2000000 FY16
Campus Planning Capitalized Positions 779619 Operating - 0 779619 3500000 FY17
Library Library Acquisitions 1080000 Operating - 0 1080000 (3000000) spent
Finance UCH Contingency 2603139 Operating 951432 1651707 2500000 balance available
Finance CFO - Hold 4000000 Operating 3594475 405525
11962758 7045907 4916851
2000000 per jeff
6916851
Revenues ($M) Expenditures ($M)
Appropriation 1218 Personal Services 3843 Appropriation 1218 Personal Services 3843
Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046 Fringe Benefits amp Adjustments 1007 Fringe Benefits 2046
Total State Support $ 2225 Correctional Managed Health Care 835 Total State Support $ 2225 Correctional Managed Health Care 835
Tuition and Fees 233 DrugsMedical Supplies 823 Tuition and Fees 233 DrugsMedical Supplies 823
Grants amp Contracts 864 Other Expenses 2152 Grants amp Contracts 864 Other Expenses 2150
InternsResidents 630 Depreciation 379 InternsResidents 630 Depreciation 379
Net Patient Revenue 4577 Total Operating Expenditures $ 10078 Net Patient Revenue 4577 Total Operating Expenses 10077
Correctional Managed Health Care 835 Correctional Managed Health Care 835
Other Revenue 517 Other Revenue 517 Net Gain(Loss) (197)
Total Operating Revenues $ 9881 Net Gain(Loss) $ (197) Total Operating Revenues $ 9880
Spending plan FY18 (detail capital)
Original Revised
Depreciation 35801260 35801260
EPIC - Carryforward (orig $55M spent $30M) (2500000) (2500000)
EPIC - FY18 (3500000) (3500000)
Debt payments (6576264) (6576264)
Capital Pool - FY18 (2453042) (2453042)
Library e-resources (500000) - 0 moved to operating-offset by inkind fb
IT Pool (1000000) (1000000)
Capital Projects carryforward (871954) (871954)
CFO contingency pool - 0 (1000000)
Library e-resources - use allowance (500000) - 0 moved to operating offset by inkind fb
Use allowance (part of the $684M) 500000 500000 use allowance cash still funding Library resouces in operating
Total Debt serviceprojects (17401260) (17401260)
Operating Loss (18400000) (18400000)
Balance - 0 - 0
FY18 FY19
Used in FY18 Budget --Governor Recommended Rev May 15 2017 Senate and House Approved Budget 102017 Variance Lapses Distribution 11172017 Net Appropriation Senate and House Approved Budget 102017 Variance
Block Grant 106767742 106746887 (20855) (4437991) 102308896 106746848 (39)
AHEC - 0 374566 374566 (199) 374367 374566 - 0
Bioscience CT funding 10984843 10984843 - 0 (306086) 10678757 11567183 582340
Workers Compensation Approp 7721978 4320855 (3401123) - 0 4320855 4324771 3916
125474563 122427151 (3047412) (4744276) 117682875 123013368 586217
Workers Compensation claims (7721978) (7721978) - 0 (7721978) (7721978) - 0
117752585 114705173 (3047412) (4744276) 109960897 115291390 586217
74 used 69 used
Inkind fb 87136913 81234894 (5902019) (3273413) 77961481
add fringe differential 13500000 13500000 13500000
100636913 94734894 (5902019) 91461481 (3273413)
total State support gross (before wc claims) 226111476 217162045 (8949431) 209144356
total State support net (after wc claims) 218389498 209440067 (8949431) 201422378
Inkind fb 87121480 92197925
add fringe differential 13500000 13500000
100621480 105697925 5076445
total State support gross (before wc claims) 223048631 223380800
total State support net (after wc claims) 215326653 215658822
Expenditures ($M)
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Total Operating Fund $ 10211
Research and Restricted Expenditures 684
Total Operating Expenditures $ 10895
Personal Services 3912
Fringe Benefits 2322
Correctional Managed Health Care 804
DrugsMedical Supplies 852
Other Expenses 2147
Debt ServiceProjects 174
Research and Restricted Expenditures 684
Revenues ($M)
Appropriation 1177
Fringe Benefits amp Adjustments 1057
Total State Support $ 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Total Operating Fund $ 10211
Research and Restricted Funds 684
Total Current Funds Revenues $ 10895
State Support 2234
Tuition 200
Fees 44
Grants amp Contracts 849
InternsResidents 667
Net Patient Revenue 4827
Correctional Managed Health Care 804
Other Revenue 586
Research and Restricted Funds 684
FY18 Original BOT Budget ($M) FY18 Revised Budget ($M) Favorable (Unfavorable) ($M) Notes
Appropriation 1254 1177 (77) Reduction in workers compensation and lapses
Fringe Benefits amp Adjustments 1006 1057 51 increase due to increase in fringe rates
Total State Support $ 2260 $ 2234 $ (26)
Tuition 200 200 - 0
Fees 44 44 - 0
Grants amp Contracts 872 849 (23) First quarter results
InternsResidents 667 667 - 0
Net Patient Revenue 4751 4827 76 Enhanced payments and first quarter results
Correctional Managed Health Care 804 804 - 0
Other Revenue 576 586 10 First quarter results - retail pharmacy
- 0
Total Operating Fund $ 10174 $ 10211 $ 37
Research and Restricted Funds 684 684 - 0
Total Current Funds Revenues $ 10858 $ 10895 $ 37
Personal Services 3896 3912 (16) Implementation of final SEBAC provisions
Fringe Benefits 2288 2322 (34) Implementation of final SEBAC provisions
Correctional Managed Health Care 804 804 - 0
DrugsMedical Supplies 847 852 (05) First quarter results
Other Expenses 2165 2147 18 First quarter results
Debt ServiceProjects 174 174 (00)
Total Operating Fund $ 10174 $ 10211 $ (37)
Research and Restricted Expenditures 684 684 - 0
Total Operating Expenditures $ 10858 $ 10895 $ (37)
Net Gain(Loss) $ - 0 $ (00) $ (00)
UConn Health
Spending Plan for Fiscal Year 2018
Revenues
Appropriation 117752585
Fringe Benefits amp Adjustments 100594368
Total State Support $ 218346953
Tuition and Fees 24402915
Grants amp Contracts 87178304
InternsResidents 66694948
Net Patient Revenue 475098373
Correctional Managed Health Care 80426658
Other Revenue 57635408
Total Operating Funds $ 1009783559
Research and Restricted Funds 68423247
Total Current Funds Revenues $ 1078206806
Expenditures
Personal Services 389629832
Fringe Benefits 221135897
Correctional Managed Health Care 80426658
DrugsMedical Supplies 84704197
Other Expenses 216482470
Debt ServiceProjects 17401260
Total Operating Funds $ 1009780314
Research and Restricted Expenditures 68423247
Total Operating Expenditures $ 1078203561
Net Gain $ 3245
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Depreciation 358 Grants amp Contracts 849 Depreciation 358
InternsResidents 667 Total Operating Expenditures $ 10395 InternsResidents 667 Total Operating Fund 10395
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Correctional Managed Health Care 804
Other Revenue 586 Other Revenue 586
Total Operating Revenues $ 10211 Net Gain(Loss) $ (184) Total Operating Fund $ 10211 Net Gain(Loss) (1838)
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
Revenues ($M) Expenditures ($M) see notes below for summary of changes
Appropriation 1177 Personal Services 3912 Appropriation 1177 Personal Services 3912
Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322 Fringe Benefits amp Adjustments 1057 Fringe Benefits 2322
Total State Support $ 2234 Correctional Managed Health Care 804 Total State Support $ 2234 Correctional Managed Health Care 804
Tuition 200 DrugsMedical Supplies 852 Tuition 200 DrugsMedical Supplies 852
Fees 44 Other Expenses 2147 Fees 44 Other Expenses 2147
Grants amp Contracts 849 Debt ServiceProjects 174 Grants amp Contracts 849 Debt ServiceProjects 174
InternsResidents 667 Total Operating Fund $ 10211 InternsResidents 667 Total Operating Fund 10211
Net Patient Revenue 4827 Net Patient Revenue 4827
Correctional Managed Health Care 804 Research and Restricted Expenditures 684 Correctional Managed Health Care 804 Research and Restricted Expenditures 684
Other Revenue 586 Other Revenue 586
Total Operating Fund $ 10211 Total Operating Expenditures $ 10895 Total Operating Fund $ 10211 Total Operating Expenditures $ 10895
Research and Restricted Funds 684 Research and Restricted Funds 684
Total Current Funds Revenues $ 10895 Net Gain(Loss) $ (00) Total Current Funds Revenues $ 10895 Net Gain(Loss) 00
Research and Restricted Funds - detail
Use Allowance 7000000 per Julie
State Bond Funds-EMR 23700000 State Bond funds EMR (41M less spent $173) storrs funds for EMR $48M
Storrs Funds - EMR 35000000 per storrs agreement FY18 35000000
Comprehensive Cancer Center 1556995 cash balance (orig amt 25M in FY13) FY19 13000000
Health Disparity 1166252 cash balance (orig amt 25M in FY13) 48000000
68423247
Notes - Revisions to original budget presented June28th
Approp revised to approved budget - Oct 2017 and added back the wc - and reduced with lapses of 47M
inkind fringe updated using new approp and lapses- 816 rate used was 74
split tuition and fees (per request of storrs)
Reduced Grants and contract - first qtr results $23M
workers comps claims of $7721978 moved to fringe exp (was netted out of approp in orig)
Net patient revenue increased by $30M (umg enhanced physician payments) and 1st quarter results $46M
Other revenue - first qtr results - Retail pharmacy
salary cost added 16M (SEBAC provisions longevity and clean up of furlough)
fb cost added $33M (half of Sebac reallocations) offset with addl inkind fringe
rounding issue $100k added to inkind fringe
Drugs and Med supplies $500K added - first quarter results
other expenses $500K added for eresources (maintenance and subscription fees) and first qtr results research decrease $23M
FY18 Budget Target
FY18 Bottom line - Preliminary Projection $ (5940)
Financial interventions posted to budget 1270
FY18 Bottom line - Current $ (4670)
Not Posted to Budget
SEBAC (Estimated Savings) 1270
UMG
Revenue increase (Adding an additional Patient per week would be approximately $13M) 400 need broad categories of these savings
Expense reduction 350 Annes will provide summary
JDH
Revenue increase 400
Expense reduction 410
FY18 Bottom line Target $ (1840)
FY18 Preliminary Forecast and Assumptions
Bottom line
FY2017 Budget $ (197)
Estimated additional clinical revenue (2 increase) 90
State Support reduction (Gov Rec compared to Allotment Amount - includes Block Grant In-kind Fringes Bioscience and Workers Compensation) (118)
NICU Rental Income decrease (Per contract) (10)
Research Grants (19)
Fringe Benefit - retirement rates per comptrollers estimates (Net of in-kind fb) (68)
Fringe Benefit - estimates of Insurance increases (Net of in-kind fb) (40)
FY2018 Original Projection (without Health One) $ (361)
Health One - revenue reduction (113)
Health One - training and back fill (120)
Total FY18 Preliminary Forecast $ (594)
FY17 Forecast vs FY17 Budget
FY17 Budget FY17 Forecast Variance
Revenues
Net Patient Care $ 4715 $ 4567 $ (148)
Other Revenue 2241 2243 02
Correctional Managed Health Care 833 824 (09)
State Support 1236 1218 (18)
In-kind Fringe Benefits and Differential 976 1007 31
Total Revenue $ 10001 $ 9860 $ (141)
Expenses
Salary $ 3857 $ 3843 $ (14)
Fringe Benefits 2066 2037 (29)
Correctional Managed Health Care 833 824 (09)
Other Expenses 3404 3352 (52)
Total Expenses $ 10160 $ 10056 $ (104)
Excess(Deficiency) of Revenues over Expenses $ (159) $ (197) $ (38)
notes for Jeff
summary of forecast changes (21554857)
Third Party updated thru April YTD (3000000)
IT review 183120
Core Reconciliation 1800000
Interns amp Res 823000
Hemophilia clinic340B pharmacy 1360329
Library (moved to capital) 108000
Facilities Mgmt 223012
Creative Child Care 23000
Fire Dept 76780
ResearchAcademic review of spend 1258000
2855241
(18699616)
FY18 Budget Assumptions
The following presentation assumes
Tuition and Fees - overall 45 rate increase
Research revenue - slight increase offset by additional expenses
Salaries - no increase related to bargaining units due to no settled contracts as of budget preparation
Fringes - State Comptrollers estimated state retirement rates used
Appropriation - Governors Recommended Revised budget as of May 15 2017
FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Forecast FY2018 Budget
UCH Profit (Loss) (7203277) (15458141) (2876454) (12564848) (19688715) (59400000)
UCH Profit (Loss) (72) (155) (29) (126) (197) (594)
Orig Projection Final Budget ActualsForecast
FY14 (210) (110) (155)
FY15 (259) (125) (29)
FY16 (400) (159) (126)
FY17 (481) (159) (197)
FY18 (594) (184)
Note
Financial Improvement Project began in FY2014 - Total savings of $103M

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