Department of Health

 

The enacted budget makes the following changes to the Executive Budget (analysis as of 3/30/09):

  • Increases the Department of Health’s State Operations All Funds appropriation by $50.03 million. While the Enacted budget document indicates a $47.8 million increase, it appears to be a math error.
  • Increases the General Fund personal service appropriation for the Office of Health Systems Management Program by $6 million, but decreases this program’s Professional Medical Conduct Account (SRO) personal service appropriation by $5.28 million; and its contractual services appropriation by $2.88 million.
  • Eliminates the Office of Health Insurance Program’s Medicaid Inquiry Account (SRO), which included a $500,000 appropriation for personal service.
  • Adds $52 million to the Center for Community Health Program’s Special Revenue Funds – Federal (SRF) Accounts (both funded by the American Recovery and Reinvestment Act of 2009):

    • o Federal Health and Human Services Fund, $30 million, for federal prevention and wellness.

    o Federal Department of Education Fund, Individuals with Disabilities-Part C Account, $22 million, for activities related to a handicapped infants and toddlers program.
  • Adds a Special Revenue Funds – Other (SRO) account to the Center for Environmental Health Program and allocates $694,000 to the new Drinking Water Program Management and Administration Fund. It will provide services and expenses of the drinking water state revolving fund and is funded by the American Recovery and Reinvestment Act of 2009.
  • Adds $14.5 million to Roswell Park Cancer Institute in aid to localities (HCRA) funds to support operating costs associated with cancer research. The funds appropriated are supported by savings resulting from the increased Federal Medical Assistance Percentage (FMAP) provided pursuant to the American Recovery and Reinvestment act of 2009.
  • According to the Senate analysis of the enacted budget bill, implementation of the increase in clinic rates and physician fees has been delayed until December 1, 2009.
  • Article VII language includes proposals related to Medicaid and other health care savings (most of the savings are from aid to localities funds). Some of the proposals included in the Article VII language: accepts half of the hospital gross receipts tax proposal, at 0.35%; restores the worker retraining funds; restores funding for the SFY 2008/09 Graduate Medical Education/Professional Education Pool; rejects the 2% across the board Medicaid rate reductions; delayed implementation of nursing home regional pricing methodology, hospital inpatient reimbursement reform, and the rate reduction for inpatient detoxification services.
    •

    According to the Assembly Yellow Book, (analysis as of December 31, 2008):

  • The Executive proposal includes a decrease of $3.4 million related to personal services efficiencies.
  • The physician registration fee increase will be used to support the oversight of medical conduct and physician profiling activities.

    • According to the Senate White Book, (analysis as of December 31, 2008):

  • The following are among the nursing home initiatives included in the Executive Budget proposal: establishing the Nursing Home Quality Incentive Pool, which would provide incentive grants to those nursing home providers that provide improved quality of care to their patients ($25 million in State funding for this program); and the creation of a Long Term Care Nursing Scholarship and Loan Repayment program, in order to address the shortage of professional nurses in the long term care system ($2.5 million in State funding). The financial assistance is for registered nurses and nurse practitioners that practice in a long term care setting. It is unclear if both of these initiatives are funded out of the aid to localities appropriations.
    •

    The Executive Budget recommends (analysis as of December 16, 2008):

    Program

    FY 2008-09 Adjustment

    FY 2009-10 Difference

    Administration and Executive Direction

    -3

    		 　

    Community Health

    -23

    		 　

    Environmental Health

    -2

    		 　

    Health Care Financing

    -11

    		 　

    Office of Health Insurance Programs

    -62

    		 　

    Office of Health Systems Management

    -374

    		 　

    Institution Management

    -105

    		 　

    Office of Long Term Care

    +375

    		 　

    Laboratories and Research

    -13

    		 　

    Division of Managed Care & Program Evaluation

    -15

    		 　
  • The difference between the estimated FTEs for SFY 2008-09 and the adjusted level of 2008-09 FTEs is -233, according to the Agency Presentation. In SFY 2008-09 the Health Care Standards and Surveillance program was divided into the Office of Health Systems Management and the Office of Long Term Care. However, in the SFY 2008-09 Agency Presentation the FTEs were not divided appropriately, and instead were lumped into the Office of Health Systems Management. It appears that the SFY 2008-09 adjustment shifts the appropriate FTEs from the Office of Health Systems Management to the Office of Long Term Care. The -233 difference between SFY 2008-09 and the adjusted level of 2008-09 should be addressed at statewide labor management.
  • The total appropriation for Personal Service is $340 million, a $40 million or 13.2% increase from SFY 2008-09. However the Executive Budget Agency Presentation narrative for DOH shows a total personal service appropriation for SFY 2009-10 of $338.6 million, a net increase of $14.7 million. It is unclear why there is a discrepancy between what the appropriation bill reports and what the Agency Presentation indicates as total personal service funding. The difference in the amount of the increase reflects adjustments due to the Special Pay Bill, which contained negotiated union raises and due to the agency-wide reductions made during the fiscal year.
  • An All Funds increase of $85.7 million, 4.3% increase from SFY 2008-09. However, the Agency Presentation indicates that All Funds increases by $48.3 million. Again, this reflects adjustments due to the negotiated union raises and the agency-wide reductions made during the fiscal year.
  • The following programs had a significant increase in personal service funding that is not associated with an increase in FTEs. These funding and position changes should be clarified with management.
    • 1. Center for Community Health Program, Tobacco Control and Cancer Services SRO Account (+$486,700 or +21.3%).

    2. Center for Environmental Health Program, Drinking Water Program Management and Administration SRO account (+$1.4 million or 42.2%). It appears that the funds for the MU within this account may have been shifted.

    3. Health Care Finance Program, Provider Collection Monitoring Program, SRO (+$755,900 or +30.2%).

    4. Institutional Management Program:

    Helen Hayes Hospital Account, SRO (+$4.5 million or +12.5%).

    NYC Veterans Home Account, SRO (+$1.6 million or +11.7%).

    Oxford Veterans Home Account, SRO (+$1.7 million or +11.7%).

    Lower Hudson Veterans Home Account, SRO (+$1.9 million or +11.7%).

    5. Office of Health Insurance Program (+$2.1 million or +7.9%).

    6. Office of Health Systems Management Program (+$6.3 million or +37.9%) and subaccounts of this program:

    Certificate of Need Account, SRO (+$820,300 or +40%).

    Professional Medical Conduct Account, SRO (+$6.4 million or +67.9%).

    7. Office of Long Term Care (+$4.1 million or +15.6%).

    8. Wadsworth (+$2.3 million or +8.4%).
  • The following programs had a significant decrease in personal service funding that is not associated with a decrease in FTEs. These funding and position changes should be clarified with management.

    • 1. Center for Environmental Health Program, MU for services and expenses of a food service establishment manager certification program was eliminated (-$108,000 or -100%), and a subaccount of this program:

    Drinking Water Program Management & Administration, MU for expenses of the state revolving fund source water delineations and assessments. It appears that the funds may have been shifted out of the MU, but remain within the Drinking Water Program Management & Administration account (-$864,200 or -100%).

    2. Office of Long Term Care, MU for services and expenses related to the home health aide registry (-$3.5 million or -92% million).

    3. Wadsworth:

    Laboratory Sciences Educational Training Program, MU (-$100,000 or -100%).

    Umbilical Cord Blood Banking Program, MU (-$193,000 or -100%).
  • The Department of Health (DOH) employed an estimated 1,193 employees under consultant contracts in SFY 2008-09 at a cost of $60.3 million or an average cost of $50,570 per consultant contract employee.  It is estimated that the same amount and number of employees will be allocated for consultant contracts in SFY 2009-10.
  • In the 2008-09 budget documents it was estimated that the DOH would employ an estimated 483 employees in SFY 2008-09, at a cost of $22.2 million. In the 2009-10 budget documents it is estimated that the DOH employed 710 more consultants than originally estimated and spent $38 million more than originally estimated (or 172% more) for that time period. This discrepancy or large increase from what was estimated last year and what was reported this year for consultant expenditures in SFY 2008-09 should be addressed at statewide labor management.
  • The following program had a substantial increase in the proposed contractual services appropriation when compared to SFY 2008-09:

    • 1. Center for Environmental Health Program, Occupational Health Clinics Account, SRO (+$4 million or +72.1%).

    2. Elderly Pharmaceutical Insurance Coverage Program (+$983,900 or +5.6%).

    3. Office of Health Insurance Programs, MU (+$27.8 million or 653% increase). This contract is for expenses related to the creation of a state enrollment portal.

    4. Office of Health Systems Management Program:

    Certificate of Need Account, SRO (+$820,000 or +40%).

    Professional Medical Conduct Account, SRO (+$2.9 million or 67.9%).

    5. Office of Long Term Care Program (+$4.9 million or +33.4%), and subaccount:

    MU for services and expenses related to the home health aide registry (+$1.7 million or +100%).
  • The following programs had substantial decreases in the proposed contractual services appropriation when compared to SFY 2008-09:

    • 1. Administration and Executive Direction Program, MU funding for services and expenses of health e-link (-$1.25 million or -62.5%).

    2. Center for Environmental Health Program, MU for services and expenses of a food service establishment manager certification program (-$20,000 or -100%).

    3. Office of Health Systems Management Program, MU for suballocation to the OMH for services and expenses for surveys of psychiatric residential treatment facilities (-$750,000 or -100%).

    4. Office of Long Term Care Program: (-$3.3 million). There were multiple MUs within this program that decreased by 100%. However, this Program’s contractual services General Fund appropriation increase of $4.9 million is greater than what the MUs decreased by (-$3.25 million), so whether the funds were simply shifted is unknown, but should be addressed at statewide labor management. The subaccounts include:

    MU for implementation of formal quality assessment and performance improvement programs for hospices (-$750,000 or -100%).

    MU for long term reform improvements (-$2.2 million or -100%).

    MU for HIV care retention in communities of color (-$200,000 or -100%).

    MU for translation neurological research program in collaboration with Helen Hayes Hospital (-$100,000 or -100%).

    MU for public health genomics (-$50,000 or -100%).

    Criminal Background Check, SRO account (-$11 million or -100%).

    5. Wadsworth, MU for services and expenses of the clinical laboratory sciences educational training program (-$100,000 or -100%).
  • Roswell Park Cancer Institute (RPCI) received: $76.4 million in direct support; and $25 million for capital projects. According to the Agency Presentation, the Anti-tobacco funding of $14.5 million for research studies was eliminated. RPCI gained 78 FTEs from SFY 2008-09 for a SFY 2009-10 workforce of 2,025.
  • Article VII language proposes the restructuring of the clinical laboratories fee methodology by replacing the current method of determining fees with a one percent assessment on each laboratory’s gross annual receipts.
  • Article VII language amends current law to increase the physician registration fee from $570 to $970 to support the operations of Office of Professional Medical Conduct.
  • Article VII language includes a number of proposals related to Medicaid and other health care savings (most of the savings are from the aid to localities accounts). Some of the proposals included in the Article VII language (many of which are part of the Deficit Reduction Plan) are: reinstate the 0.7% hospital gross receipts tax; eliminate the 2008 & 2009 trend factor; shift Health Care Reform Act (HCRA) Graduate Medical Education (GME) funds to the indigent care pool to support teaching hospitals serving uninsured patients; reduce unspent GME funding; reduce public hospital recruitment and retention grant funding; and restructure nursing home reimbursement. It is unclear if any of these changes will have an impact on the overall financial status or staffing level of the SUNY hospitals or DOH institutions, although the latter do not appear to be negatively impacted in SFY 2009-10.
    • Department of Health
    Program Details-State Operations
       Enacted   Proposed   Enacted  Change in Percent
    Program  2008-09 Budget   2009-10 Budget   2009-10 Budget  Appropriation Change
    All Funds $2,004,879,000 $2,090,572,500 $2,140,603,500 $135,724,500 6.8%
    General Fund $259,642,800 $303,992,400 $309,992,400 $50,349,600 19.4%
    Special Revenue - Federal $1,191,493,000 $1,208,651,000 $1,260,651,000 $69,158,000 5.8%
    Special Revenue - Other $553,733,200 $577,919,100 $569,950,100 $16,216,900 2.9%
    Enterprise Fund $10,000 $10,000 $10,000 $0 0.0%
               
    Personal Services $300,456,900 $340,030,500 $340,248,300 $39,791,400 13.2%
    Contractual Services $405,575,400 $433,057,300 $430,176,500 $24,601,100 6.1%
                
    Admin & Exec Direction Pgm $78,750,300 $80,027,200 $80,027,200 $1,276,900 1.6%
    Personal Service $8,172,300 $8,817,300 $8,817,300 $645,000 7.9%
    Regular $8,112,300 $8,757,300 $8,757,300 $645,000 8.0%
    Temporary Service $10,000 $10,000 $10,000 $0 0.0%
    Holiday/overtime compensation $50,000 $50,000 $50,000 $0 0.0%
    Nonpersonal Service $21,464,200 $21,464,200 $21,464,200 $0 0.0%
    Supplies and materials $1,077,400 $1,077,400 $1,077,400 $0 0.0%
    Travel $406,500 $406,500 $406,500 $0 0.0%
    Contractual Services $19,352,000 $19,352,000 $19,352,000 $0 0.0%
    Equipment $628,300 $628,300 $628,300 $0 0.0%
    Maintenance Undistributed $2,000,000 $750,000 $750,000 ($1,250,000) -62.5%
    Contractual Services $2,000,000 $750,000 $750,000 ($1,250,000) -62.5%
    Special Rev - Fed (SRF) $10,003,000 $9,876,000 $9,876,000 ($127,000) -1.3%
    Special Rev - Other (SRO) $37,110,800 $39,119,700 $39,119,700 $2,008,900 5.4%
               
    Child & Adult Care Food Acct - (SRF) $976,000 $818,000 $818,000 ($158,000) -16.2%
    Fed Food & Nutrition Services acct - (SRF) $1,952,000 $1,983,000 $1,983,000 $31,000 1.6%
    Fed Health &Human Services Fund - (SRF) $419,000 $419,000 $419,000 $0 0.0%
    Fed Block Grant Fund - (SRF) $6,656,000 $6,656,000 $6,656,000 $0 0.0%
               
    Technology Transfer Acct - (SRO) $500,000 $500,000 $500,000 $0 0.0%
    Nonpersonal Service $500,000 $500,000 $500,000 $0 0.0%
    Contractual Services $500,000 $500,000 $500,000 $0 0.0%
               
    Health Occupation Dev & Workplace Demo  - (SRO) $2,279,500 $2,354,200 $2,354,200 $74,700 3.3%
    Personal Service $560,000 $634,700 $634,700 $74,700 13.3%
    Regular $520,000 $594,700 $594,700 $74,700 14.4%
    Temporary Service $40,000 $40,000 $40,000 $0 0.0%
    Nonpersonal Service $1,719,500 $1,719,500 $1,719,500 $0 0.0%
    Supplies and materials $5,000 $5,000 $5,000 $0 0.0%
    Travel $10,300 $10,300 $10,300 $0 0.0%
    Contractual Services $1,184,800 $1,184,800 $1,184,800 $0 0.0%
    Equipment $10,000 $10,000 $10,000 $0 0.0%
    Fringe benefits $255,100 $255,100 $255,100 $0 0.0%
    Indirect costs $254,300 $254,300 $254,300 $0 0.0%
               
    Pilot Health Insurance Acct - (SRO) $2,155,600 $2,303,000 $2,303,000 $147,400 6.8%
    Personal Services $1,020,000 $1,167,400 $1,167,400 $147,400 14.5%
    Regular $1,017,000 $1,164,400 $1,164,400 $147,400 14.5%
    Holiday/overtime compensation $3,000 $3,000 $3,000 $0 0.0%
    Nonpersonal Services $1,135,600 $1,135,600 $1,135,600 $0 0.0%
    Supplies and materials $15,000 $15,000 $15,000 $0 0.0%
    Travel $20,000 $20,000 $20,000 $0 0.0%
    Contractual Services $73,000 $73,000 $73,000 $0 0.0%
    Equipment $100,000 $100,000 $100,000 $0 0.0%
    Fringe benefits $464,400 $464,400 $464,400 $0 0.0%
    Indirect costs $463,200 $463,200 $463,200 $0 0.0%
               
    Primary Care Initiatives Acct - (SRO) $1,028,700 $1,109,600 $1,109,600 $80,900 7.9%
    Personal Services $517,000 $597,900 $597,900 $80,900 15.6%
    Regular $507,000 $587,900 $587,900 $80,900 16.0%
    Temporary Service $5,000 $5,000 $5,000 $0 0.0%
    Holiday/overtime compensation $5,000 $5,000 $5,000 $0 0.0%
    Nonpersonal Services $511,700 $511,700 $511,700 $0 0.0%
    Supplies and materials $5,400 $5,400 $5,400 $0 0.0%
    Travel $7,600 $7,600 $7,600 $0 0.0%
    Contractual Services $15,000 $15,000 $15,000 $0 0.0%
    Equipment $15,000 $15,000 $15,000 $0 0.0%
    Fringe benefits $235,500 $235,500 $235,500 $0 0.0%
    Indirect costs $233,200 $233,200 $233,200 $0 0.0%
               
    Health Care Delivery Administration Acct - (SRO) $767,500 $802,900 $802,900 $35,400 4.6%
    Personal Service $245,000 $280,400 $280,400 $35,400 14.4%
    Regular $240,000 $275,400 $275,400 $35,400 14.8%
    Temporary Service $5,000 $5,000 $5,000 $0 0.0%
    Nonpersonal Service $522,500 $522,500 $522,500 $0 0.0%
    Supplies and materials $20,000 $20,000 $20,000 $0 0.0%
    Travel $62,500 $62,500 $62,500 $0 0.0%
    Contractual Services $182,600 $182,600 $182,600 $0 0.0%
    Equipment $34,500 $34,500 $34,500 $0 0.0%
    Fringe benefits $111,600 $111,600 $111,600 $0 0.0%
    Indirect costs $111,300 $111,300 $111,300 $0 0.0%
               
    Administration Program Acct - (SRO) $11,723,700 $12,435,900 $12,435,900 $712,200 6.1%
    Personal Service $6,085,000 $6,797,200 $6,797,200 $712,200 11.7%
    Regular $5,915,000 $6,627,200 $6,627,200 $712,200 12.0%
    Holiday/overtime compensation $170,000 $170,000 $170,000 $0 0.0%
    Nonpersonal Service $5,638,700 $5,638,700 $5,638,700 $0 0.0%
    Supplies and materials $1,000 $1,000 $1,000 $0 0.0%
    Travel $50,000 $50,000 $50,000 $0 0.0%
    Contractual Services $2,816,000 $2,816,000 $2,816,000 $0 0.0%
    Fringe benefits $2,771,700 $2,771,700 $2,771,700 $0 0.0%
               
    Heatlh-SPARCS  - (SRO) $7,758,300 $8,098,300 $8,098,300 $340,000 4.4%
    Personal Service $2,905,000 $3,245,000 $3,245,000 $340,000 11.7%
    Regular $2,850,000 $3,190,000 $3,190,000 $340,000 11.9%
    Holiday/overtime compensation $55,000 $55,000 $55,000 $0 0.0%
    Nonpersonal Service $4,853,300 $4,853,300 $4,853,300 $0 0.0%
    Supplies and materials $52,000 $52,000 $52,000 $0 0.0%
    Travel $18,000 $18,000 $18,000 $0 0.0%
    Contractual Services $1,658,000 $1,658,000 $1,658,000 $0 0.0%
    Equipment $800,000 $800,000 $800,000 $0 0.0%
    Fringe benefits $1,323,200 $1,323,200 $1,323,200 $0 0.0%
    Indirect costs $1,002,100 $1,002,100 $1,002,100 $0 0.0%
               
    Professional Medical Conduct Acct - (SRO) $8,213,200 $8,724,300 $8,724,300 $511,100 6.2%
    Personal Services $4,367,000 $4,878,100 $4,878,100 $511,100 11.7%
    Regular $4,357,000 $4,868,100 $4,868,100 $511,100 11.7%
    Holiday/overtime compensation $10,000 $10,000 $10,000 $0 0.0%
    Nonpersonal Services $3,846,200 $3,846,200 $3,846,200 $0 0.0%
    Supplies and materials $65,000 $65,000 $65,000 $0 0.0%
    Travel $118,000 $118,000 $118,000 $0 0.0%
    Contractual Services $1,622,000 $1,622,000 $1,622,000 $0 0.0%
    Equipment $52,000 $52,000 $52,000 $0 0.0%
    Fringe benefits $1,989,200 $1,989,200 $1,989,200 $0 0.0%
               
    Vital Records Mgmt Acct - (SRO) $2,684,300 $2,791,500 $2,791,500 $107,200 4.0%
    Personal Services $1,186,000 $1,324,800 $1,324,800 $138,800 11.7%
    Regular $1,061,000 $1,199,800 $1,199,800 $138,800 13.1%
    Holiday/overtime compensation $125,000 $125,000 $125,000 $0 0.0%
    Nonpersonal Services $1,498,300 $1,466,700 $1,466,700 ($31,600) -2.1%
    Supplies and materials $30,000 $30,000 $30,000 $0 0.0%
    Travel $2,000 $2,000 $2,000 $0 0.0%
    Contractual Services $500,000 $500,000 $500,000 $0 0.0%
    Equipment $17,000 $17,000 $17,000 $0 0.0%
    Fringe benefits $540,200 $508,600 $508,600 ($31,600) -5.8%
    Indirect costs $409,100 $409,100 $409,100 $0 0.0%
               
    AIDS Institute $17,008,000 $17,899,000 $17,899,000 $891,000 5.2%
    Personal Service $11,047,000 $11,938,000 $11,938,000 $891,000 8.1%
    Regular $11,027,000 $11,918,000 $11,918,000 $891,000 8.1%
    Holiday/overtime compensation $20,000 $20,000 $20,000 $0 0.0%
    Nonpersonal Service $5,511,000 $5,511,000 $5,511,000 $0 0.0%
    Supplies and materials $1,333,881 $1,333,881 $1,333,881 $0 0.0%
    Travel $311,700 $311,700 $311,700 $0 0.0%
    Contractual Services $3,636,900 $3,636,900 $3,636,900 $0 0.0%
    Equipment $228,519 $228,519 $228,519 $0 0.0%
    Maintenance Undistributed $450,000 $450,000 $450,000 $0 0.0%
    Personal Services $247,000 $247,000 $247,000 $0 0.0%
    Regular $247,000 $247,000 $247,000 $0 0.0%
    Nonpersonal Services $203,000 $203,000 $203,000 $0 0.0%
    Supplies and materials $2,600 $2,600 $2,600 $0 0.0%
    Travel $400 $400 $400 $0 0.0%
    Contractual Services $200,000 $200,000 $200,000 $0 0.0%
               
    Center for Community Health Pgm $162,739,800 $171,111,700 $223,111,700 $60,371,900 37.1%
    Personal Service $2,660,800 $2,871,000 $2,871,000 $210,200 7.9%
    Regular $2,640,700 $2,851,000 $2,851,000 $210,300 8.0%
    Holiday/overtime compensation $20,100 $20,000 $20,000 ($100) -0.5%
    Nonpersonal Service $10,114,000 $10,114,000 $10,114,000 $0 0.0%
    Supplies and materials $200,900 $201,000 $201,000 $100 0.0%
    Travel $116,800 $117,000 $117,000 $200 0.2%
    Contractual Services $9,487,000 $9,487,000 $9,487,000 $0 0.0%
    Equipment $309,300 $309,000 $309,000 ($300) -0.1%
    Special Rev. -Fed (SRF) $143,903,000 $151,578,000 $203,578,000 $59,675,000 41.5%
    Special Rev. -Other (SRO) $6,062,000 $6,548,700 $6,548,700 $486,700 8.0%
               
    Child & Adult Care Food Acct - (SRF) $9,195,000 $9,195,000 $9,195,000 $0 0.0%
    Fed Food & Nutrition Services acct - (SRF) $56,970,000 $59,276,000 $59,276,000 $2,306,000 4.0%
    WIC Civil Monetary Acct - (SRF) $5,000,000 $5,000,000 $5,000,000 $0 0.0%
    Fed Health & Human Services Fund 265 - (SRF) $29,819,000 $29,819,000 $59,819,000 $30,000,000 100.6%
    Fed Block Grant Fund-269 - (SRF) $22,299,000 $24,023,000 $24,023,000 $1,724,000 7.7%
    Individuals w/ Disabilities Part C Acct - (SRF) $20,620,000 $24,265,000 $46,265,000 $25,645,000 124.4%
               
    Alzheimer's Research Acct - (SRO) $1,000,000 $1,000,000 $1,000,000 $0 0.0%
    Nonpersonal Services $1,000,000 $1,000,000 $1,000,000 $0 0.0%
    Contractual Services $1,000,000 $1,000,000 $1,000,000 $0 0.0%
               
    Autism Awareness and Research Acct - (SRO) $20,000 $20,000 $20,000 $0 0.0%
    Nonpersonal Services $20,000 $20,000 $20,000 $0 0.0%
    Contractual Services $20,000 $20,000 $20,000 $0 0.0%
               
    Prostate and Testicular Cancer Rsch and Educ Acct - (SRO) $150,000 $150,000 $150,000 $0 0.0%
    Nonpersonal Services $150,000 $150,000 $150,000 $0 0.0%
    Contractual Services $150,000 $150,000 $150,000 $0 0.0%
               
    Tobacco Control and Cancer Services Acct - (SRO) $4,238,000 $4,724,700 $4,724,700 $486,700 11.5%
    Personal Services $2,281,000 $2,767,700 $2,767,700 $486,700 21.3%
    Regular $2,276,757 $2,763,700 $2,763,700 $486,943 21.4%
    Holiday/overtime compensation $4,243 $4,000 $4,000 ($243) -5.7%
    Nonpersonal Services $1,957,000 $1,957,000 $1,957,000 $0 0.0%
    Supplies and materials $10,000 $10,000 $10,000 $0 0.0%
    Travel $45,000 $45,000 $45,000 $0 0.0%
    Contractual Services $50,000 $50,000 $50,000 $0 0.0%
    Equipment $30,000 $30,000 $30,000 $0 0.0%
    Fringe benefits $1,071,158 $1,071,000 $1,071,000 ($158) 0.0%
    Indirect costs $750,842 $751,000 $751,000 $158 0.0%
               
    Cable TV Acct - (SRO) $454,000 $454,000 $454,000 $0 0.0%
    Nonpersonal Services $454,000 $454,000 $454,000 $0 0.0%
    Contractual Services $454,000 $454,000 $454,000 $0 0.0%
               
    CSFP Salvage Acct - (SRO) $25,000 $25,000 $25,000 $0 0.0%
    Nonpersonal Services $25,000 $25,000 $25,000 $0 0.0%
    Contractual Services $25,000 $25,000 $25,000 $0 0.0%
               
    Diabetes Research Acct - (SRO) $100,000 $100,000 $100,000 $0 0.0%
    Nonpersonal Services $100,000 $100,000 $100,000 $0 0.0%
    Contractual Services $100,000 $100,000 $100,000 $0 0.0%
               
    Tobacco Enforcement & Education Acct - (SRO) $75,000 $75,000 $75,000 $0 0.0%
    Nonpersonal Services $75,000 $75,000 $75,000 $0 0.0%
    Contractual Services $75,000 $75,000 $75,000 $0 0.0%
                
    Center for Environmental Health Pgm $48,827,400 $54,383,400 $55,077,400 $6,250,000 12.8%
    Personal Service $7,125,000 $7,695,800 $7,695,800 $570,800 8.0%
    Regular $6,857,300 $7,428,100 $7,428,100 $570,800 8.3%
    Temporary Service $243,700 $243,700 $243,700 $0 0.0%
    Holiday/overtime compensation $24,000 $24,000 $24,000 $0 0.0%
    Nonpersonal Service $2,237,000 $2,237,000 $2,237,000 $0 0.0%
    Supplies and materials $101,000 $101,000 $101,000 $0 0.0%
    Travel $374,400 $374,400 $374,400 $0 0.0%
    Contractual Services $1,661,000 $1,661,000 $1,661,000 $0 0.0%
    Equipment $100,600 $100,600 $100,600 $0 0.0%
    Maintenance Undistributed $153,000 $0 $0 ($153,000) -100.0%
    Personal Services $108,000 $0 $0 ($108,000) -100.0%
    Regular $98,000 $0 $0 ($98,000) -100.0%
    Holiday/overtime compensation $10,000 $0 $0 ($10,000) -100.0%
    Nonpersonal Services $45,000 $0 $0 ($45,000) -100.0%
    Supplies and materials $10,000 $0 $0 ($10,000) -100.0%
    Travel $10,000 $0 $0 ($10,000) -100.0%
    Contractual Services $20,000 $0 $0 ($20,000) -100.0%
    Equipment $5,000 $0 $0 ($5,000) -100.0%
    Special Rev. - Fed (SRF) $18,105,000 $18,184,000 $18,184,000 $79,000 0.4%
    Special Rev. -Other (SRO) $21,207,400 $26,266,600 $26,960,600 $5,753,200 27.1%
               
    Fed Health & Human Services Fund - (SRF) $1,673,000 $1,673,000 $1,673,000 $0 0.0%
    Fed Block Grant  - (SRF) $6,808,000 $6,808,000 $6,808,000 $0 0.0%
    Fed EPA Grants - (SRF) $9,624,000 $9,703,000 $9,703,000 $79,000 0.8%
               
    Low Level Radioactive Waste Acct - (SRO) $1,415,700 $1,505,700 $1,505,700 $90,000 6.4%
    Personal Service $574,100 $664,100 $664,100 $90,000 15.7%
    Regular $568,600 $658,600 $658,600 $90,000 15.8%
    Holiday/overtime compensation $5,500 $5,500 $5,500 $0 0.0%
    Nonpersonal Service $691,600 $691,600 $691,600 $0 0.0%
    Supplies and materials $20,000 $20,000 $20,000 $0 0.0%
    Travel $41,000 $41,000 $41,000 $0 0.0%
    Contractual Services $184,800 $184,800 $184,800 $0 0.0%
    Equipment $15,500 $15,500 $15,500 $0 0.0%
    Fringe benefits $261,500 $261,500 $261,500 $0 0.0%
    Indirect costs $168,800 $168,800 $168,800 $0 0.0%
    Maintenance Undistributed $150,000 $150,000 $150,000 $0 0.0%
               
    Environ Protect & Oil Spill Compensation - (SRO) $314,500 $338,500 $338,500 $24,000 7.6%
    Personal Services $159,300 $183,300 $183,300 $24,000 15.1%
    Regular $157,300 $181,300 $181,300 $24,000 15.3%
    Holiday/overtime compensation $2,000 $2,000 $2,000 $0 0.0%
    Nonpersonal Services $155,200 $155,200 $155,200 $0 0.0%
    Supplies and materials $6,900 $6,900 $6,900 $0 0.0%
    Travel $2,000 $2,000 $2,000 $0 0.0%
    Contractual Services $22,900 $22,900 $22,900 $0 0.0%
    Equipment $4,000 $4,000 $4,000 $0 0.0%
    Fringe benefits $72,600 $72,600 $72,600 $0 0.0%
    Indirect costs $46,800 $46,800 $46,800 $0 0.0%
               
    Operating Permit Program Acct - (SRO) $693,600 $745,600 $745,600 $52,000 7.5%
    Personal Service $372,700 $424,700 $424,700 $52,000 14.0%
    Regular $367,200 $419,200 $419,200 $52,000 14.2%
    Holiday/overtime compensation $5,500 $5,500 $5,500 $0 0.0%
    Nonpersonal Service $320,900 $320,900 $320,900 $0 0.0%
    Supplies and materials $3,500 $3,500 $3,500 $0 0.0%
    Travel $5,000 $5,000 $5,000 $0 0.0%
    Contractual Services $25,000 $25,000 $25,000 $0 0.0%
    Equipment $8,000 $8,000 $8,000 $0 0.0%
    Fringe benefits $169,800 $169,800 $169,800 $0 0.0%
    Indirect costs $109,600 $109,600 $109,600 $0 0.0%
               
    Asbestos Safety Training - (SRO) $693,500 $732,700 $732,700 $39,200 5.7%
    Personal Service $334,800 $374,000 $374,000 $39,200 11.7%
    Regular $329,300 $368,500 $368,500 $39,200 11.9%
    Holiday/overtime compensation $5,500 $5,500 $5,500 $0 0.0%
    Nonpersonal Service $358,700 $358,700 $358,700 $0 0.0%
    Supplies and materials $3,200 $3,200 $3,200 $0 0.0%
    Travel $30,000 $30,000 $30,000 $0 0.0%
    Contractual Services $63,000 $63,000 $63,000 $0 0.0%
    Equipment $11,600 $11,600 $11,600 $0 0.0%
    Fringe benefits $152,500 $152,500 $152,500 $0 0.0%
    Indirect costs $98,400 $98,400 $98,400 $0 0.0%
               
    Occupational Health Clinics Acct - (SRO) $6,141,200 $10,180,000 $10,180,000 $4,038,800 65.8%
    Personal Service $331,600 $370,400 $370,400 $38,800 11.7%
    Regular $326,100 $364,900 $364,900 $38,800 11.9%
    Holiday/overtime compensation $5,500 $5,500 $5,500 $0 0.0%
    Nonpersonal Service $5,809,600 $9,809,600 $9,809,600 $4,000,000 68.9%
    Supplies and materials $4,000 $4,000 $4,000 $0 0.0%
    Travel $3,700 $3,700 $3,700 $0 0.0%
    Contractual Services $5,550,000 $9,550,000 $9,550,000 $4,000,000 72.1%
    Equipment $3,400 $3,400 $3,400 $0 0.0%
    Fringe benefits $151,000 $151,000 $151,000 $0 0.0%
    Indirect costs $97,500 $97,500 $97,500 $0 0.0%
               
    Radiological Health Protection Program Acct - (SRO) $4,113,300 $4,369,500 $4,369,500 $256,200 6.2%
    Personal Service $2,189,600 $2,445,800 $2,445,800 $256,200 11.7%
    Regular $2,170,100 $2,426,300 $2,426,300 $256,200 11.8%
    Temporary Service $12,000 $12,000 $12,000 $0 0.0%
    Holiday/overtime compensation $7,500 $7,500 $7,500 $0 0.0%
    Nonpersonal Service $1,923,700 $1,923,700 $1,923,700 $0 0.0%
    Supplies and materials $31,100 $31,100 $31,100 $0 0.0%
    Travel $156,000 $156,000 $156,000 $0 0.0%
    Contractual Services $56,000 $56,000 $56,000 $0 0.0%
    Equipment $39,400 $39,400 $39,400 $0 0.0%
    Fringe benefits $997,400 $997,400 $997,400 $0 0.0%
    Indirect costs $643,800 $643,800 $643,800 $0 0.0%
               
    Radon Detection Device Acct - (SRO) $200,000 $200,000 $200,000 $0 0.0%
    Nonpersonal Services $200,000 $200,000 $200,000 $0 0.0%
    Contractual Services $200,000 $200,000 $200,000 $0 0.0%
               
    Drinking water Program Mgt & Admin - (SRO) $7,635,600 $8,194,600 $8,194,600 $559,000 7.3%
    Personal Service $3,360,000 $4,783,200 $4,783,200 $1,423,200 42.4%
    Regular $3,349,500 $4,772,700 $4,772,700 $1,423,200 42.5%
    Holiday/overtime compensation $10,500 $10,500 $10,500 $0 0.0%
    Nonpersonal Service $2,875,600 $3,411,400 $3,411,400 $535,800 18.6%
    Supplies and materials $80,000 $88,800 $88,800 $8,800 11.0%
    Travel $118,000 $131,000 $131,000 $13,000 11.0%
    Contractual Services $1,041,100 $1,147,600 $1,147,600 $106,500 10.2%
    Equipment $106,000 $117,700 $117,700 $11,700 11.0%
    Fringe benefits $1,530,500 $1,926,300 $1,926,300 $395,800 25.9%
    Maintenance Undistributed $1,400,000 $0 $0 ($1,400,000) -100.0%
    Personal Services $864,200 $0 $0 ($864,200) -100.0%
    Regular $864,200 $0 $0 ($864,200) -100.0%
    Nonpersonal Services $535,800 $0 $0 ($535,800) -100.0%
    Supplies and materials $8,800 $0 $0 ($8,800) -100.0%
    Travel $13,000 $0 $0 ($13,000) -100.0%
    Contractual Services $106,500 $0 $0 ($106,500) -100.0%
    Equipment $11,700 $0 $0 ($11,700) -100.0%
    Fringe benefits $395,800 $0 $0 ($395,800) -100.0%
               
    Drinking water Program Mgt & Admin - (SRO) $0 $0 $694,000 $694,000 100.0%
               
    Child Health Insurance Prog. $80,175,000 $80,626,400 $80,626,400 $451,400 0.6%
    Special Rev. -Other (SRO) $16,045,000 $16,496,400 $16,496,400 $451,400 2.8%
    Special Rev. -Fed (SRF) $64,130,000 $64,130,000 $64,130,000 $0 0.0%
               
    Children's Health Insurance Acct - (SRF) $64,130,000 $64,130,000 $64,130,000 $0 0.0%
               
    Children's Health Insurance Acct - (SRO) $16,045,000 $16,496,400 $16,496,400 $451,400 2.8%
    Personal Service $2,777,000 $3,228,400 $3,228,400 $451,400 16.3%
    Regular $2,727,000 $3,178,400 $3,178,400 $451,400 16.6%
    Temporary Service $5,000 $5,000 $5,000 $0 0.0%
    Holiday/overtime compensation $45,000 $45,000 $45,000 $0 0.0%
    Nonpersonal Service $13,268,000 $13,268,000 $13,268,000 $0 0.0%
    Supplies and materials $171,000 $171,000 $171,000 $0 0.0%
    Travel $123,000 $123,000 $123,000 $0 0.0%
    Contractual Services $10,047,000 $10,047,000 $10,047,000 $0 0.0%
    Equipment $400,000 $400,000 $400,000 $0 0.0%
    Fringe benefits $1,265,000 $1,265,000 $1,265,000 $0 0.0%
    Indirect costs $1,262,000 $1,262,000 $1,262,000 $0 0.0%
               
    Division of Managed Care and Program Evaluation $17,827,000 $18,725,200 $18,725,200 $898,200 5.0%
    Personal Service $11,381,000 $12,279,200 $12,279,200 $898,200 7.9%
    Regular $11,381,000 $12,279,200 $12,279,200 $898,200 7.9%
    Nonpersonal Service $6,446,000 $6,446,000 $6,446,000 $0 0.0%
    Supplies and materials $156,000 $156,000 $156,000 $0 0.0%
    Travel $130,000 $130,000 $130,000 $0 0.0%
    Contractual Services $6,000,000 $6,000,000 $6,000,000 $0 0.0%
    Equipment $160,000 $160,000 $160,000 $0 0.0%
               
    EPIC $20,911,000 $21,911,000 $21,911,000 $1,000,000 4.8%
    Special Rev. - Other (SRO) $20,911,000 $21,911,000 $21,911,000 $1,000,000 4.8%
               
    EPIC Premium Acct - (SRO) $20,911,000 $21,911,000 $21,911,000 $1,000,000 4.8%
    Personal Service $2,002,000 $2,141,600 $2,141,600 $139,600 7.0%
    Regular $1,998,000 $2,141,600 $2,141,600 $143,600 7.2%
    Holiday/overtime compensation $4,000 $0 $0 ($4,000) -100.0%
    Nonpersonal Service $18,684,000 $19,544,400 $19,544,400 $860,400 4.6%
    Supplies and materials $30,000 $30,000 $30,000 $0 0.0%
    Travel $35,000 $25,000 $25,000 ($10,000) -28.6%
    Contractual Services $17,515,000 $18,498,900 $18,498,900 $983,900 5.6%
    Equipment $25,000 $15,000 $15,000 ($10,000) -40.0%
    Fringe benefits $1,007,000 $975,500 $975,500 ($31,500) -3.1%
    Indirect costs $72,000 $0 $0 ($72,000) -100.0%
    Maintenance Undist. $225,000 $225,000 $225,000 $0 0.0%
    Personal Services $212,000 $212,000 $212,000 $0 0.0%
    Regular $212,000 $212,000 $212,000 $0 0.0%
    Nonpersonal Services $13,000 $13,000 $13,000 $0 0.0%
    Supplies and materials $3,000 $3,000 $3,000 $0 0.0%
    Travel $3,000 $3,000 $3,000 $0 0.0%
    Contractual Services $7,000 $7,000 $7,000 $0 0.0%
               
    Health Care Finance Program $18,940,000 $20,490,700 $20,490,700 $1,550,700 8.2%
    Personal Service $5,070,000 $5,470,100 $5,470,100 $400,100 7.9%
    Regular $5,020,000 $5,420,100 $5,420,100 $400,100 8.0%
    Temporary Service $10,000 $10,000 $10,000 $0 0.0%
    Holiday/overtime compensation $40,000 $40,000 $40,000 $0 0.0%
    Nonpersonal Service $2,507,000 $2,507,000 $2,507,000 $0 0.0%
    Supplies and materials $99,000 $99,000 $99,000 $0 0.0%
    Travel $40,000 $40,000 $40,000 $0 0.0%
    Contractual Services $2,318,000 $2,318,000 $2,318,000 $0 0.0%
    Equipment $50,000 $50,000 $50,000 $0 0.0%
    Special Rev. - Other (SRO) $11,363,000 $12,513,600 $12,513,600 $1,150,600 10.1%
               
    Provider Collection Monitoring - (SRO) $5,264,000 $6,072,800 $6,072,800 $808,800 15.4%
    Personal Service $2,500,000 $3,255,900 $3,255,900 $755,900 30.2%
    Regular $2,490,000 $3,245,900 $3,245,900 $755,900 30.4%
    Holiday/overtime compensation $10,000 $10,000 $10,000 $0 0.0%
    Nonpersonal Service $2,764,000 $2,816,900 $2,816,900 $52,900 1.9%
    Supplies and materials $62,000 $62,000 $62,000 $0 0.0%
    Travel $13,000 $13,000 $13,000 $0 0.0%
    Contractual Services $73,000 $73,000 $73,000 $0 0.0%
    Equipment $341,000 $341,000 $341,000 $0 0.0%
    Fringe benefits $1,139,000 $1,191,900 $1,191,900 $52,900 4.6%
    Indirect costs $1,136,000 $1,136,000 $1,136,000 $0 0.0%
               
    Hospital & Nursing Home Mgt Acct - (SRO) $6,099,000 $6,440,800 $6,440,800 $341,800 5.6%
    Personal Service $2,920,000 $3,261,800 $3,261,800 $341,800 11.7%
    Regular $2,880,000 $3,221,800 $3,221,800 $341,800 11.9%
    Holiday/overtime compensation $40,000 $40,000 $40,000 $0 0.0%
    Nonpersonal Service $3,179,000 $3,179,000 $3,179,000 $0 0.0%
    Supplies and materials $82,000 $82,000 $82,000 $0 0.0%
    Travel $20,000 $20,000 $20,000 $0 0.0%
    Contractual Services $239,000 $239,000 $239,000 $0 0.0%
    Equipment $182,000 $182,000 $182,000 $0 0.0%
    Fringe benefits $1,330,000 $1,330,000 $1,330,000 $0 0.0%
    Indirect costs $1,326,000 $1,326,000 $1,326,000 $0 0.0%
               
    Institutional Management $155,167,000 $165,752,100 $165,752,100 $10,585,100 6.8%
    Special Rev. - Other (SRO) $155,157,000 $165,742,100 $165,742,100 $10,585,100 6.8%
    Enterprise (Ent) $10,000 $10,000 $10,000 $0 0.0%
               
    Batavia Home Donation Acct - (SRO) $50,000 $50,000 $50,000 $0 0.0%
    Helen Hayes Hospital Acct - (SRO) $35,000 $35,000 $35,000 $0 0.0%
    NYC Veterans' Home Donation Acct - (SRO) $50,000 $50,000 $50,000 $0 0.0%
    Montrose Donation Acct - (SRO) $50,000 $50,000 $50,000 $0 0.0%
    Oxford Gifts & Donations Acct - (SRO) $200,000 $200,000 $200,000 $0 0.0%
               
    Helen Hayes Hospital Acct - (SRO) $63,089,000 $67,576,800 $67,576,800 $4,487,800 7.1%
    Personal service $35,842,000 $40,329,800 $40,329,800 $4,487,800 12.5%
    Regular $31,736,000 $36,223,800 $36,223,800 $4,487,800 14.1%
    Temporary Service $3,150,000 $3,150,000 $3,150,000 $0 0.0%
    Holiday/overtime compensation $956,000 $956,000 $956,000 $0 0.0%
    Nonpersonal Service $27,247,000 $27,247,000 $27,247,000 $0 0.0%
    Supplies and materials $3,945,000 $3,945,000 $3,945,000 $0 0.0%
    Travel $32,000 $32,000 $32,000 $0 0.0%
    Contractual Services $19,247,000 $19,247,000 $19,247,000 $0 0.0%
    Equipment $823,000 $823,000 $823,000 $0 0.0%
    Fringe benefits $3,000,000 $3,000,000 $3,000,000 $0 0.0%
    Indirect costs $200,000 $200,000 $200,000 $0 0.0%
               
    NYC Veterans Home Acct - (SRO) $33,109,000 $34,698,100 $34,698,100 $1,589,100 4.8%
    Personal service $13,577,000 $15,166,100 $15,166,100 $1,589,100 11.7%
    Regular $12,152,000 $13,741,100 $13,741,100 $1,589,100 13.1%
    Holiday/overtime compensation $1,425,000 $1,425,000 $1,425,000 $0 0.0%
    Nonpersonal Service $19,532,000 $19,532,000 $19,532,000 $0 0.0%
    Supplies and materials $1,043,000 $1,043,000 $1,043,000 $0 0.0%
    Travel $52,000 $52,000 $52,000 $0 0.0%
    Contractual Services $11,196,000 $11,196,000 $11,196,000 $0 0.0%
    Equipment $466,000 $466,000 $466,000 $0 0.0%
    Fringe benefits $6,700,000 $6,700,000 $6,700,000 $0 0.0%
    Indirect costs $75,000 $75,000 $75,000 $0 0.0%
               
    Oxford Veterans Home Acct - (SRO) $23,388,000 $25,092,700 $25,092,700 $1,704,700 7.3%
    Personal service $14,565,000 $16,269,700 $16,269,700 $1,704,700 11.7%
    Regular $12,758,000 $14,462,700 $14,462,700 $1,704,700 13.4%
    Temporary Service $795,000 $795,000 $795,000 $0 0.0%
    Holiday/overtime compensation $1,012,000 $1,012,000 $1,012,000 $0 0.0%
    Nonpersonal Service $8,823,000 $8,823,000 $8,823,000 $0 0.0%
    Supplies and materials $4,373,000 $4,373,000 $4,373,000 $0 0.0%
    Travel $65,000 $65,000 $65,000 $0 0.0%
    Contractual Services $2,612,000 $2,612,000 $2,612,000 $0 0.0%
    Equipment $513,000 $513,000 $513,000 $0 0.0%
    Fringe benefits $1,200,000 $1,200,000 $1,200,000 $0 0.0%
    Indirect costs $60,000 $60,000 $60,000 $0 0.0%
               
    Lower Hudson Veterans Home Acct - (SRO) $23,628,000 $25,511,200 $25,511,200 $1,883,200 8.0%
    Personal service $16,090,000 $17,973,200 $17,973,200 $1,883,200 11.7%
    Regular $12,056,000 $13,939,200 $13,939,200 $1,883,200 15.6%
    Temporary Service $2,159,000 $2,159,000 $2,159,000 $0 0.0%
    Holiday/overtime compensation $1,875,000 $1,875,000 $1,875,000 $0 0.0%
    Nonpersonal Service $7,538,000 $7,538,000 $7,538,000 $0 0.0%
    Supplies and materials $2,389,000 $2,389,000 $2,389,000 $0 0.0%
    Travel $15,000 $15,000 $15,000 $0 0.0%
    Contractual Services $4,784,000 $4,784,000 $4,784,000 $0 0.0%
    Equipment $290,000 $290,000 $290,000 $0 0.0%
    Indirect costs $60,000 $60,000 $60,000 $0 0.0%
               
    Western NY Veterans Home Acct - (SRO) $11,558,000 $12,478,300 $12,478,300 $920,300 8.0%
    Personal service $7,863,000 $8,783,300 $8,783,300 $920,300 11.7%
    Regular $7,093,000 $8,013,300 $8,013,300 $920,300 13.0%
    Temporary Service $280,000 $280,000 $280,000 $0 0.0%
    Holiday/overtime compensation $490,000 $490,000 $490,000 $0 0.0%
    Nonpersonal Service $3,695,000 $3,695,000 $3,695,000 $0 0.0%
    Supplies and materials $828,000 $828,000 $828,000 $0 0.0%
    Travel $25,000 $25,000 $25,000 $0 0.0%
    Contractual Services $1,997,000 $1,997,000 $1,997,000 $0 0.0%
    Equipment $800,000 $800,000 $800,000 $0 0.0%
    Indirect costs $45,000 $45,000 $45,000 $0 0.0%
               
    Oxford Arts & Crafts Fund Acct - (Ent) $10,000 $10,000 $10,000 $0 0.0%
               
    Medicaid Mgt Info Sys $190,228,000 $199,759,000 $199,759,000 $9,531,000 5.0%
    Nonpersonal Service $94,505,000 $94,505,000 $94,505,000 $0 0.0%
    Contractual Services $94,505,000 $94,505,000 $94,505,000 $0 0.0%
    Special Rev. - Federal (SRF) $95,723,000 $105,254,000 $105,254,000 $9,531,000 10.0%
               
    Health & Human Services Fund - (SRF) $95,723,000 $105,254,000 $105,254,000 $9,531,000 10.0%
               
    Maintenance Undistributed $0 $0 $0 $0  
    General Fund Offset ($113,322,000) ($112,822,000) ($112,822,000) $500,000 -0.4%
    Special Revenue - Other (SRO) $113,322,000 $112,822,000 $112,822,000 ($500,000) -0.4%
               
    Hospital & Nursing Home Mgt Acct - (SRO) $11,800,000 $11,800,000 $11,800,000 $0 0.0%
    Medicaid Inquiry Acct - (SRO) $500,000 $0 $0 ($500,000) -100.0%
    Nurses Aide Registry - (SRO) $300,000 $300,000 $300,000 $0 0.0%
    Quality of Care Acct - (SRO) $99,472,000 $99,472,000 $99,472,000 $0 0.0%
    Third-Party Health Insurance Recoveries Acct - (SRO) $1,250,000 $1,250,000 $1,250,000 $0 0.0%
               
    Office of Health Insurance Programs $924,414,000 $954,484,500 $953,984,500 $29,570,500 3.2%
    Personal Service $27,175,000 $29,319,700 $29,319,700 $2,144,700 7.9%
    Regular $26,824,000 $28,968,700 $28,968,700 $2,144,700 8.0%
    Temporary Service $1,000 $1,000 $1,000 $0 0.0%
    Holiday/overtime compensation $350,000 $350,000 $350,000 $0 0.0%
    Nonpersonal Service $32,092,000 $32,092,000 $32,092,000 $0 0.0%
    Supplies and materials $536,000 $536,000 $536,000 $0 0.0%
    Travel $823,000 $823,000 $823,000 $0 0.0%
    Contractual Services $29,902,000 $29,902,000 $29,902,000 $0 0.0%
    Equipment $831,000 $831,000 $831,000 $0 0.0%
    Maintenance Undistributed $4,250,000 $32,000,000 $32,000,000 $27,750,000 652.9%
    Nonpersonal Services $4,250,000 $32,000,000 $32,000,000 $27,750,000 652.9%
    Contractual Services $4,250,000 $32,000,000 $32,000,000 $27,750,000 652.9%
    Special Rev. -Other (SRO) $14,200,000 $14,375,800 $13,875,800 ($324,200) -2.3%
    Special Rev. -Fed (SRF) $846,697,000 $846,697,000 $846,697,000 $0 0.0%
               
    Health & Human Svcs - (SRF) $846,697,000 $846,697,000 $846,697,000 $0 0.0%
               
    Medicaid Fraud Hotline & Medicaid Administration - (SRO) $900,000 $928,900 $928,900 $28,900 3.2%
    Personal service $200,000 $228,900 $228,900 $28,900 14.5%
    Regular $200,000 $228,900 $228,900 $28,900 14.5%
    Nonpersonal Service $700,000 $700,000 $700,000 $0 0.0%
    Supplies and materials $25,000 $25,000 $25,000 $0 0.0%
    Contractual Services $500,000 $500,000 $500,000 $0 0.0%
    Fringe benefits $91,000 $91,000 $91,000 $0 0.0%
    Indirect costs $84,000 $84,000 $84,000 $0 0.0%
               
    Medical Assitance Acct - (SRO) $7,200,000 $7,346,900 $7,346,900 $146,900 2.0%
    Personal service $809,000 $955,900 $955,900 $146,900 18.2%
    Regular $809,000 $925,900 $925,900 $116,900 14.4%
    Temporary Service $0 $20,000 $20,000 $20,000 100.0%
    Holiday/overtime compensation $0 $10,000 $10,000 $10,000 100.0%
    Nonpersonal Service $6,391,000 $6,391,000 $6,391,000 $0 0.0%
    Supplies and materials $35,000 $35,000 $35,000 $0 0.0%
    Travel $34,000 $34,000 $34,000 $0 0.0%
    Contractual Services $5,581,000 $5,581,000 $5,581,000 $0 0.0%
    Equipment $34,000 $34,000 $34,000 $0 0.0%
    Fringe benefits $369,000 $369,000 $369,000 $0 0.0%
    Indirect costs $338,000 $338,000 $338,000 $0 0.0%
               
    Disease Management Account - (SRO) $5,000,000 $5,000,000 $5,000,000 $0 0.0%
    Nonpersonal Service $5,000,000 $5,000,000 $5,000,000 $0 0.0%
    Contractual Services $5,000,000 $5,000,000 $5,000,000 $0 0.0%
               
    Medicaid Inquiry Acct - (SRO) $500,000 $500,000 $0 ($500,000) -100.0%
    Personal service $500,000 $500,000 $0 ($500,000) -100.0%
    Regular $500,000 $500,000 $0 ($500,000) -100.0%
               
    Medicaid Research Projects Acct - (SRO) $600,000 $600,000 $600,000 $0 0.0%
    Nonpersonal Service $600,000 $600,000 $600,000 $0 0.0%
    Contractual Services $600,000 $600,000 $600,000 $0 0.0%
               
    Office of Health Systems Mgmt $76,781,000 $96,364,600 $94,201,600 $17,420,600 22.7%
    Personal Service $16,691,000 $23,018,600 $29,018,600 $12,327,600 73.9%
    Regular $16,092,000 $22,419,600 $28,419,600 $12,327,600 76.6%
    Temporary Service $53,000 $53,000 $53,000 $0 0.0%
    Holiday/overtime compensation $546,000 $546,000 $546,000 $0 0.0%
    Nonpersonal Service $7,123,000 $7,123,000 $7,123,000 $0 0.0%
    Supplies and materials $186,000 $186,000 $186,000 $0 0.0%
    Travel $237,000 $237,000 $237,000 $0 0.0%
    Contractual Services $6,499,000 $6,499,000 $6,499,000 $0 0.0%
    Equipment $201,000 $201,000 $201,000 $0 0.0%
    Maintenance Undist. $1,023,000 $273,000 $273,000 ($750,000) -73.3%
    Personal Services $131,000 $131,000 $131,000 $0 0.0%
    Regular $131,000 $131,000 $131,000 $0 0.0%
    Nonpersonal Services $892,000 $142,000 $142,000 ($750,000) -84.1%
    Supplies and materials $18,000 $18,000 $18,000 $0 0.0%
    Travel $50,000 $50,000 $50,000 $0 0.0%
    Contractual Services $750,000 $0 $0 ($750,000) -100.0%
    Equipment $74,000 $74,000 $74,000 $0 0.0%
    Special Rev. - Other (SRO) $51,944,000 $65,950,000 $57,787,000 $5,843,000 11.2%
               
    Emergency Medical Services Acct - (SRO) $20,484,000 $20,819,300 $20,819,300 $335,300 1.6%
    Personal Service $2,320,000 $2,655,300 $2,655,300 $335,300 14.5%
    Regular $2,240,000 $2,575,300 $2,575,300 $335,300 15.0%
    Temporary Service $5,000 $5,000 $5,000 $0 0.0%
    Holiday/overtime compensation $75,000 $75,000 $75,000 $0 0.0%
    Nonpersonal Service $18,164,000 $18,164,000 $18,164,000 $0 0.0%
    Supplies and materials $130,000 $130,000 $130,000 $0 0.0%
    Travel $180,000 $180,000 $180,000 $0 0.0%
    Contractual Services $15,693,000 $15,693,000 $15,693,000 $0 0.0%
    Equipment $300,000 $300,000 $300,000 $0 0.0%
    Fringe benefits $1,057,000 $1,057,000 $1,057,000 $0 0.0%
    Indirect costs $804,000 $804,000 $804,000 $0 0.0%
               
    Hospital & Nursing Home Mgt Acct - (SRO) $932,000 $989,000 $989,000 $57,000 6.1%
    Personal Service $487,000 $544,000 $544,000 $57,000 11.7%
    Regular $478,000 $535,000 $535,000 $57,000 11.9%
    Temporary Service $2,000 $2,000 $2,000 $0 0.0%
    Holiday/overtime compensation $7,000 $7,000 $7,000 $0 0.0%
    Nonpersonal Service $445,000 $445,000 $445,000 $0 0.0%
    Supplies and materials $2,000 $2,000 $2,000 $0 0.0%
    Travel $8,000 $8,000 $8,000 $0 0.0%
    Contractual Services $24,000 $24,000 $24,000 $0 0.0%
    Equipment $20,000 $20,000 $20,000 $0 0.0%
    Fringe benefits $222,000 $222,000 $222,000 $0 0.0%
    Indirect costs $169,000 $169,000 $169,000 $0 0.0%
               
    Certificate of Need Acct - (SRO) $4,931,000 $7,020,800 $7,020,800 $2,089,800 42.4%
    Personal Service $2,049,000 $2,869,300 $2,869,300 $820,300 40.0%
    Regular $2,039,000 $2,859,300 $2,859,300 $820,300 40.2%
    Holiday/overtime compensation $10,000 $10,000 $10,000 $0 0.0%
    Nonpersonal Service $2,882,000 $4,151,500 $4,151,500 $1,269,500 44.0%
    Supplies and materials $26,000 $26,000 $26,000 $0 0.0%
    Travel $38,000 $38,000 $38,000 $0 0.0%
    Contractual Services $1,150,000 $1,970,000 $1,970,000 $820,000 71.3%
    Equipment $25,000 $42,600 $42,600 $17,600 70.4%
    Fringe benefits $933,000 $1,197,700 $1,197,700 $264,700 28.4%
    Indirect costs $710,000 $877,200 $877,200 $167,200 23.5%
               
    Funeral Directing Acct - (SRO) $484,000 $508,300 $508,300 $24,300 5.0%
    Personal Service $208,000 $232,300 $232,300 $24,300 11.7%
    Regular $198,000 $222,300 $222,300 $24,300 12.3%
    Holiday/overtime compensation $10,000 $10,000 $10,000 $0 0.0%
    Nonpersonal Service $276,000 $276,000 $276,000 $0 0.0%
    Supplies and materials $14,000 $14,000 $14,000 $0 0.0%
    Travel $24,000 $24,000 $24,000 $0 0.0%
    Contractual Services $45,000 $45,000 $45,000 $0 0.0%
    Equipment $25,000 $25,000 $25,000 $0 0.0%
    Fringe benefits $95,000 $95,000 $95,000 $0 0.0%
    Indirect costs $73,000 $73,000 $73,000 $0 0.0%
               
    Patient Safety Center Acct - (SRO) $1,000,000 $1,000,000 $1,000,000 $0 0.0%
    Nonpersonal Service $1,000,000 $1,000,000 $1,000,000 $0 0.0%
    Contractual Services $1,000,000 $1,000,000 $1,000,000 $0 0.0%
               
    Professional Medical Conduct Acct - (SRO) $24,113,000 $35,612,600 $27,449,600 $3,336,600 13.8%
    Personal service $9,396,000 $15,777,900 $10,495,700 $1,099,700 11.7%
    Regular $9,007,000 $15,388,900 $10,106,700 $1,099,700 12.2%
    Temporary Service $340,000 $340,000 $340,000 $0 0.0%
    Holiday/overtime compensation $49,000 $49,000 $49,000 $0 0.0%
    Nonpersonal Service $13,727,000 $18,844,700 $15,963,900 $2,236,900 16.3%
    Supplies and materials $154,000 $154,000 $154,000 $0 0.0%
    Travel $276,000 $276,000 $276,000 $0 0.0%
    Contractual Services $5,512,000 $8,392,800 $5,512,000 $0 0.0%
    Equipment $250,000 $250,000 $250,000 $0 0.0%
    Fringe benefits $4,280,000 $6,516,900 $6,516,900 $2,236,900 52.3%
    Indirect costs $3,255,000 $3,255,000 $3,255,000 $0 0.0%
    Maintenance Undistributed $990,000 $990,000 $990,000 $0 0.0%
               
    Office of Long Term Care  $70,169,000 $63,391,200 $63,391,200 ($6,777,800) -9.7%
    Personal Service $26,382,000 $30,510,000 $30,510,000 $4,128,000 15.6%
    Regular $25,446,000 $29,574,000 $29,574,000 $4,128,000 16.2%
    Temporary Service $82,000 $82,000 $82,000 $0 0.0%
    Holiday/overtime compensation $854,000 $854,000 $854,000 $0 0.0%
    Nonpersonal Service $16,504,000 $21,404,000 $21,404,000 $4,900,000 29.7%
    Supplies and materials $350,000 $350,000 $350,000 $0 0.0%
    Travel $1,065,000 $1,065,000 $1,065,000 $0 0.0%
    Contractual Services $14,674,000 $19,574,000 $19,574,000 $4,900,000 33.4%
    Equipment $415,000 $415,000 $415,000 $0 0.0%
    Maintenance Undist. $7,000,000 $2,000,000 $2,000,000 ($5,000,000) -71.4%
    Personal Services $3,750,000 $300,000 $300,000 ($3,450,000) -92.0%
    Regular $0 $300,000 $300,000 $300,000 100.0%
    Regular - Hospice $250,000 $0 $0 ($250,000) -100.0%
    Regular - Long Term & Surveillance $2,000,000 $0 $0 ($2,000,000) -100.0%
    Regular - Long Term & Surveillance Enhancement $1,500,000 $0 $0 ($1,500,000) -100.0%
    Nonpersonal Services $3,250,000 $1,700,000 $1,700,000 ($1,550,000) -47.7%
    Supplies and materials $0 $700 $700 $700 100.0%
    Travel $0 $1,300 $1,300 $1,300 100.0%
    Contractual Services $0 $1,680,000 $1,680,000 $1,680,000 100.0%
    Equipment $0 $18,000 $18,000 $18,000 100.0%
    Contractual Services - Hospice $750,000 $0 $0 ($750,000) -100.0%
    Contractual Services - Long Term Care Reform $2,150,000 $0 $0 ($2,150,000) -100.0%
    Contractual Services - HIV $200,000 $0 $0 ($200,000) -100.0%
    Contractual Services - Neurological Rsch Helen Hayes $100,000 $0 $0 ($100,000) -100.0%
    Contractual Services - Public Health Genomics $50,000 $0 $0 ($50,000) -100.0%
    Special Rev. - Other (SRO) $20,283,000 $9,477,200 $9,477,200 ($10,805,800) -53.3%
               
    Adult Home Quality Enhancement - (SRO) $500,000 $500,000 $500,000 $0 0.0%
    Nonpersonal Service $500,000 $500,000 $500,000 $0 0.0%
    Contractual Services $500,000 $500,000 $500,000 $0 0.0%
               
    Assisted Living Residence Quality Oversight Acct - (SRO) $2,000,000 $2,118,200 $2,118,200 $118,200 5.9%
    Personal Service $1,010,000 $1,128,200 $1,128,200 $118,200 11.7%
    Regular $975,000 $1,093,200 $1,093,200 $118,200 12.1%
    Holiday/overtime compensation $35,000 $35,000 $35,000 $0 0.0%
    Nonpersonal Service $990,000 $990,000 $990,000 $0 0.0%
    Supplies and materials $9,000 $9,000 $9,000 $0 0.0%
    Travel $40,000 $40,000 $40,000 $0 0.0%
    Contractual Services $134,000 $134,000 $134,000 $0 0.0%
    Equipment $16,000 $16,000 $16,000 $0 0.0%
    Fringe benefits $445,000 $445,000 $445,000 $0 0.0%
    Indirect costs $346,000 $346,000 $346,000 $0 0.0%
               
    Continuing Care Retirement Community Acct - (SRO) $246,000 $249,500 $249,500 $3,500 1.4%
    Personal service $30,000 $33,500 $33,500 $3,500 11.7%
    Regular $30,000 $33,500 $33,500 $3,500 11.7%
    Nonpersonal Service $216,000 $216,000 $216,000 $0 0.0%
    Supplies and materials $3,000 $3,000 $3,000 $0 0.0%
    Travel $5,000 $5,000 $5,000 $0 0.0%
    Contractual Services $160,000 $160,000 $160,000 $0 0.0%
    Fringe benefits $14,000 $14,000 $14,000 $0 0.0%
    Indirect costs $34,000 $34,000 $34,000 $0 0.0%
               
    Criminal Background Check - (SRO) $11,000,000 $0 $0 ($11,000,000) -100.0%
    Nonpersonal Service $11,000,000 $0 $0 ($11,000,000) -100.0%
    Contractual Services $11,000,000 $0 $0 ($11,000,000) -100.0%
               
    Durable Medical Equipment Acct - (SRO) $625,000 $661,500 $661,500 $36,500 5.8%
    Personal Service $312,000 $348,500 $348,500 $36,500 11.7%
    Regular $312,000 $348,500 $348,500 $36,500 11.7%
    Nonpersonal Service $313,000 $313,000 $313,000 $0 0.0%
    Supplies and materials $23,000 $23,000 $23,000 $0 0.0%
    Travel $24,000 $24,000 $24,000 $0 0.0%
    Equipment $14,000 $14,000 $14,000 $0 0.0%
    Fringe benefits $143,000 $143,000 $143,000 $0 0.0%
    Indirect costs $109,000 $109,000 $109,000 $0 0.0%
               
    Nurses Aide Registry Acct - (SRO) $3,912,000 $3,930,400 $3,930,400 $18,400 0.5%
    Personal service $157,000 $175,400 $175,400 $18,400 11.7%
    Regular $156,000 $174,400 $174,400 $18,400 11.8%
    Holiday/overtime compensation $1,000 $1,000 $1,000 $0 0.0%
    Nonpersonal Service $3,755,000 $3,755,000 $3,755,000 $0 0.0%
    Supplies and materials $10,000 $10,000 $10,000 $0 0.0%
    Travel $5,000 $5,000 $5,000 $0 0.0%
    Contractual Services $3,605,000 $3,605,000 $3,605,000 $0 0.0%
    Equipment $8,000 $8,000 $8,000 $0 0.0%
    Fringe benefits $72,000 $72,000 $72,000 $0 0.0%
    Indirect costs $55,000 $55,000 $55,000 $0 0.0%
               
    Quality of Care Improvement Acct - (SRO) $2,000,000 $2,017,600 $2,017,600 $17,600 0.9%
    Personal service $150,000 $167,600 $167,600 $17,600 11.7%
    Regular $130,000 $147,600 $147,600 $17,600 13.5%
    Holiday/overtime compensation $20,000 $20,000 $20,000 $0 0.0%
    Nonpersonal Service $1,850,000 $1,850,000 $1,850,000 $0 0.0%
    Supplies and materials $33,000 $33,000 $33,000 $0 0.0%
    Travel $50,000 $50,000 $50,000 $0 0.0%
    Contractual Services $1,528,000 $1,528,000 $1,528,000 $0 0.0%
    Equipment $117,000 $117,000 $117,000 $0 0.0%
    Fringe benefits $70,000 $70,000 $70,000 $0 0.0%
    Indirect costs $52,000 $52,000 $52,000 $0 0.0%
               
    Wadsworth $142,548,500 $145,646,500 $145,646,500 $3,098,000 2.2%
    Personal Service $27,670,500 $30,000,500 $30,000,500 $2,330,000 8.4%
    Regular $26,800,000 $29,130,000 $29,130,000 $2,330,000 8.7%
    Temporary Service $70,000 $70,000 $70,000 $0 0.0%
    Holiday/overtime compensation $800,500 $800,500 $800,500 $0 0.0%
    Nonpersonal Service $15,818,000 $16,018,000 $16,018,000 $200,000 1.3%
    Supplies and materials $3,352,000 $3,352,000 $3,352,000 $0 0.0%
    Travel $76,000 $76,000 $76,000 $0 0.0%
    Contractual Services $7,085,000 $7,285,000 $7,285,000 $200,000 2.8%
    Equipment $5,305,000 $5,305,000 $5,305,000 $0 0.0%
    Maintenance Undist. $393,000 $0 $0 ($393,000) -100.0%
    Personal Services $293,000 $0 $0 ($293,000) -100.0%
    Regular - Lab Sciences Trng Pgm $100,000 $0 $0 ($100,000) -100.0%
    Regular - Umbilical Cord Blood Banking Pgm $193,000 $0 $0 ($193,000) -100.0%
    Nonpersonal Services $100,000 $0 $0 ($100,000) -100.0%
    Contractual Services - Lab Sciences Trng Pgm $100,000 $0 $0 ($100,000) -100.0%
    Special Rev. -Federal (SRF) $12,932,000 $12,932,000 $12,932,000 $0 0.0%
    Special Rev. -Other (SRO) $86,128,000 $86,696,000 $86,696,000 $568,000 0.7%
               
    Health & Human Svces - (SRF) $1,556,000 $1,556,000 $1,556,000 $0 0.0%
    Block Grant Fund - (SRF) $11,376,000 $11,376,000 $11,376,000 $0 0.0%
               
    Breast Cancer Research - (SRO) $2,600,000 $2,600,000 $2,600,000 $0 0.0%
    Nonpersonal Service $2,600,000 $2,600,000 $2,600,000 $0 0.0%
    Contractual Services $2,600,000 $2,600,000 $2,600,000 $0 0.0%
               
    Multiple Sclerosis Rsch Acct - (SRO) $20,000 $20,000 $20,000 $0 0.0%
    Nonpersonal Service $20,000 $20,000 $20,000 $0 0.0%
    Contractual Services $20,000 $20,000 $20,000 $0 0.0%
               
    Clinical Lab Fee Ref - (SRO) $20,440,000 $20,770,000 $20,770,000 $330,000 1.6%
    Personal service $7,195,000 $8,037,000 $8,037,000 $842,000 11.7%
    Regular $7,095,000 $7,937,000 $7,937,000 $842,000 11.9%
    Holiday/overtime compensation $100,000 $100,000 $100,000 $0 0.0%
    Nonpersonal Service $12,425,000 $12,733,000 $12,733,000 $308,000 2.5%
    Supplies and materials $846,000 $846,000 $846,000 $0 0.0%
    Travel $300,000 $300,000 $300,000 $0 0.0%
    Contractual Services $1,871,000 $2,271,000 $2,271,000 $400,000 21.4%
    Equipment $1,441,000 $1,441,000 $1,441,000 $0 0.0%
    Fringe benefits $3,560,000 $3,468,000 $3,468,000 ($92,000) -2.6%
    Indirect costs $4,407,000 $4,407,000 $4,407,000 $0 0.0%
    Maintenance Undistributed $820,000 $0 $0 ($820,000) -100.0%
               
    Evironmental Lab Fee - (SRO) $4,568,000 $4,777,000 $4,777,000 $209,000 4.6%
    Personal service $1,785,000 $1,994,000 $1,994,000 $209,000 11.7%
    Regular $1,765,000 $1,974,000 $1,974,000 $209,000 11.8%
    Holiday/overtime compensation $20,000 $20,000 $20,000 $0 0.0%
    Nonpersonal Service $2,783,000 $2,783,000 $2,783,000 $0 0.0%
    Supplies and materials $295,000 $295,000 $295,000 $0 0.0%
    Travel $170,000 $170,000 $170,000 $0 0.0%
    Contractual Services $210,000 $210,000 $210,000 $0 0.0%
    Equipment $103,000 $103,000 $103,000 $0 0.0%
    Fringe benefits $837,300 $837,300 $837,300 $0 0.0%
    Indirect costs $1,167,700 $1,167,700 $1,167,700 $0 0.0%
               
    Spinal Cord Injury - (SRO) $8,500,000 $8,529,000 $8,529,000 $29,000 0.3%
    Personal service $245,000 $224,000 $224,000 ($21,000) -8.6%
    Regular $245,000 $224,000 $224,000 ($21,000) -8.6%
    Nonpersonal Service $8,255,000 $8,305,000 $8,305,000 $50,000 0.6%
    Supplies and materials $50,000 $50,000 $50,000 $0 0.0%
    Travel $45,000 $45,000 $45,000 $0 0.0%
    Contractual Services $7,860,800 $7,978,000 $7,978,000 $117,200 1.5%
    Equipment $15,000 $15,000 $15,000 $0 0.0%
    Fringe benefits $114,900 $88,000 $88,000 ($26,900) -23.4%
    Indirect costs $169,300 $129,000 $129,000 ($40,300) -23.8%
               
    Empire State Stem Cell Research Acct - (SRO) $50,000,000 $50,000,000 $50,000,000 $0 0.0%
    Nonpersonal Service $50,000,000 $50,000,000 $50,000,000 $0 0.0%
    Contractual Services $50,000,000 $50,000,000 $50,000,000 $0 0.0%