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Guam Memorial Hospital Authority Aturiditt Espetitt Mimuriitt Guithan
October 1,2010
850 GOV. CARLOS CAMACHO ROAD OKA, TAMUNING, GUAM 96913
TEL: 647-2444 or 647-2330 FAX: (671) 649-0145
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--9 ..x:::: Honorable Judith T. Won Pat
Speaker .t: "
~4 I Mina' Bente Nuebi Na Liheslaturan Gm'lhan 155 Hesler Place Hagatfia, Guam 96910
SUBJECT: FY2010 4th Quarter Report Re: P.L. 30-07, Section 14 - Bond Proceeds
Dear Senator Won Pat:
The Guam Memorial Hospital Authority (GMHA) respectfully submits its FY2010 4th
Quarter Appropriation/Expenditures Report under the General Obligation Bond 2009 Series A funding.
Should you have any questions or concerns, please do not hesitate to contact me at 647-241812367. Thank you.
Best Regards,
cc: Office of the Public Auditor
Admin. Repository No. 103122.1
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Government of Guam FY'tO AppropriationlExpenditures Report
PunDaot to PL 36-07
YEAR ·TO·DAY Function: Healtbcan StrvictJ
Agency: Guam Memorial Hospital Authority
Source: General Obligation Bonds 2009 S<trles A
Appro Ho. SI00l>099966CT028
A a c 0 [ " G A-B (C-D
Budget PL 30-07 Transrerl Account Original R~erved Total Allotment Outstanding Unallotled
Code Appropriation Classification Appropriation (+1-) Appropriation Release Exoenditures Encumbrances Balance
I PERSONNEL SERVICES I
III Re~lar Salariesllncrements 11 2 Overtime/So«ial Pay 113 Benefits
TOTAL PERSONNEL SERVICES -
OPERATIONS 220 TRA VEL-Off-lslandlMilea~e Reimbursement
230 CONTRACTUAL SERVlCES: II 000 000.00 (38 128.00 10961 872.00 36000.00 36000. 00 8 3435 1307 10 925 872. 00
233 OFFICE SPACE RENTAL:
240 SUPPLIES & MATERIALS :
250 EQUIPMENT: -
SUB-RECIPIENT/SUBGRANT: -
290 MISCELLANEOUS
TOTAL OPERATIONS 11 000 000.00 38 128.00 10 961872.00 36 000.00 36000.00 8,343 5 \3.07 10 92S 872.00
unuru:.s 361 Power 362 Water/Sewer 363 T elephoneiT 011
TOTAL UTILITIES -701 1ND11t£CT OST I I I j I I
450 C.UrTALO\I'I'LAV I I -TOTAL. .\'PROPRlATIONS 11 000 000.00 I (38 128.00)1 10961872.00 I 36000.00 36000.00 I 8.3435\3.07 I 10925872.00
I I Specify Fund Source
I'\ILL TIME EOUlVALENTSCfT&1 UNCLASS[fIED j I I ~ I I CLASSIFIED l I I I I I
TOTAL FIb - I - I . . J I . .S1J10:::.~;;j{;,;(Cla'!GYilECIS10I'tlTDl'Sj1.\\'lf';f(i- i :,~:~'
T .... A ..... -.' .... . - . ;,~d',Q(l \ltRNoR'il:m:coMMEilbEiU rEMs3i "~<"
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Government of Guam FY'lO Appropriation/El.penditures Re.port
Pursuant to PL 30-07
4th Quarter· Ending September 30, 2010 Functton; Healthcare ServiceJ
Agoncy: Guam Memorial Hospital Autbority
Source: General Obligation Bonds 2009 Serle. A
ApPf. No. SIOOOO99966Cf028 A B C 0 E F G
(A-B) C-Dl Budget PL 30-07 Transfer/
Account Original Reserved Total Allotment Outstanding UnaUotted Code Appropriation Classification Appropriation (+1-) Appropriation Refu se Expenditures Encumbrances Balance
!£RSONNELSERVlQ:S III Regular SalarieslIncrements 112 Overtime/Special Pay III Benefits
TOTAL PERSONNEL SERVICES - -
OPl:RA110NS. 220 TRA VEL-Otf-lslandlMileage Reimbursement
230 CONTRACTUAL SERVICES : 1096 1 872.00 10930322.00 44 50.00 4 450.00 1 049599.07 10 925 872.00
233 OFFICE SPACE RENTAL:
240 SUPPLIES & MATERIALS:
250 EQUIPMENT:
SUB-REC!PIENT/SUBGRANT:
290 MISCELLANEOUS
TOTAL OPERATIONS 10961 872.00 - 10 930,322.00 4450.00 4450.00 1 049599.07 10925872.00
UT1LlTlllS 361 Power 362 Water/Sewer 363 Telephoneffoll
TOTAL UTILITIES -
701 INOou:crCOST I I I I
450 CAprrALOlTTUV I I I I I
f TOTAL.APPROPIUA110NS 10961 872.00 I I 10930,322.00 4450.00 I I 1 049 599.07 I 10925872.00 11 Spccify Fund Snurce
fULL 11m EOUlVAL£NTS FTtt UNCLASSIFIED I I I I CLASSIFIED I I I I I
TOTALFTtt · . L . 1. . 1. . l . AC£NCY DECISION ITEMS
TOIoI 11._ D<cWoto J ..... · - . :YkVS".GO~6iI.·S'R£C()~Dl!l). l'TEMS~;<;t,;"
T .... ~._oIic!oo ·
GUAM MEMORIAL HOSPITAL AUTHORITY 850 GOV. CARLOS G. CAMACHO ROAD TAMUNING, GUAM 96911 TEL: 647-2448 or FAX: 647-2402
DRAWDOWN REQUEST: General Obligation Bonds 2009 Series A (Public Law 29-113 & 30-07) Account No. 5100D099966CT028
FISCAL DATE OF DATE DOA CHECK DR GRANT YEAR REQUEST FUNDS REC'D CHECK NO. DATED PROJECT TITLE No. AMOUNT
$10,961,872.00 2009 06/07/10 6/24/2010 429983 6/24/2010 Smoke Compartment Penetrations 1 1
Fire Sprinkler System Uporade
2010 07/13/10 911712010 444974 Smoke Compartment Penetrations 2
2010 09/27/10 Smoke Compartment Penetrations 1 3 Fire Sprinkler System Upgrade
TOTAL $ 10,961,872.00
APPROVED BY
SIGNATURE DATE
PRINTED NAME:=.J~a!,!:ne~B,::' !.-'FI:.::::o!-::re~s ______ _ TITLE: Chief Financial Officer
Draw #3
73,74750
$10,888,12450
$10,961,872 00
A
TOTAL EXPENDITURES
$ 31,550.00
$ 4,450.00
$ 3774750
$ 73,747.50
APPROVED BY
SIGNATURE
$
$
067% YTD Expenditures 9/15/10
9933% Fund Balance as of 9/15/10
B (A-B) DRAWDOWN THIS
FUNDS REQUEST DRAWDOWN RECEIVED (LAST) REQUEST
$31,550.00
4.45000
$ 37747.50
36,000.00 $ $ 37,747.50
DATE
PRINTED NAME: PeterJohn D. Camacho, MPH TITLE: Hospital Administrator/CEO
9/29/20101051 AM
FUND BALANCE
$10,888,124.50
9129120101055 AM
DEPTIAGENCY: GUAM MEMORIAL HOSPITAL AUTHORITY PROJECT TITLE: GENERAL OBLIGATION BOND 2009 SERIES A GRANT AMOUNT: $10,961,872.00 GRANT NO.# PUBLIC LAW 29·113 Amended by PUBLIC LAW 30·07 NOTIFICATION OF PROVISIONAL GRANT AWARD DATE: P.L. 29·113 dtd. 9/30/8; P.L. 30-07 dtd 4/02109 (Govemo(s Signature)
DOA Account No 5100D099966CT028 FY 2009
APPROVED EST. COST BUDGET DATE OF DATE OF INVOICE DATE OF ACTUAL BUDGET
DEPT CENTER ITEM/DESCRIPTION OTY 04/02109 REO REO NO.# PO PO No.# NO.# INVOICE ENCUMBRANCE EXPENSE TOTALS BALANCE
FM 8460 ER & CCU/ICU Expansion Upgrade 1 $ 7.000.00000 02/05/10 R10-8460-661 $ 7,000,00000 $ 7,000,000.00 $ Design & Build
FM 8460 Replace Main Electrical Distribution 1 $ 2,000,00000 $ $ 2.000,00000 Construction Phase only & one (1) 1.6 Megawatt Emergency Power Generator
FM 8460 Vertical Transportation Elevator 1 $ 1.000,000 00 07/08/10 R10-8610-7?? $ 1,000,00000 $ 1,000,000.00 $ Modernization
FM 8460 Restoration and Improvements to 1 $ 500,000.00 01/06/10 R10-8460-576 $ Smoke Compartment Penetrations 2/19/2010 20101824 2010·021 5/21/2010 $ 13,350.00 Construction Phase Only 2010-030 06/30/10 4,45000
05/24/10 R10-8460-??? $ 29,464.00 06/23/10 ~10-8460-111 8/1312010 20104155 $ 5,982.50
2010-053 9/1512010 $ 17,947.50
07119/10 R 1 0-8460-??? 24,95000
07/20/10 R 1 0-8460-??7 20,419.07 116,56307 383,436.93
FM 8460 Fire Sprinkler System Upgrade 1 $ 300,000.00 01/06/10 R 1 0·8460-577 2119/2010 20101825 2010·020 5121/2010 $ 18,200.00 Construction Phase Only 0612$110 R10-8460-111 08113/10 Z01{)4154 2010-055 09115110 1S,eOoOO
07119/10 R 1 0·8460· ??? $ 24,95000 $ 62,950.00 $ 237,050.00
FM 8460 As-Built Drawings 1 $ 200.00000 02105/10 R 1 0·8460·661 $ 200.00000 $ 200,000.00 $ Design Phase Only
11.000,00000 $ 8,343,513.07 $ 36,000.00 $ 8,379,513.07 2,620,486.93
Draw #3