Department of Health

Department of Health

The enacted budget makes no changes to the Executive Budget All Funds, state operations, appropriation proposal; the Department’s SFY 2010-11 All Funds appropriation is a $104.5 million decrease from its SFY 2009-10 enacted budget All Funds appropriation.

The enacted budget does not appear to include the following Article VII language, which was included in the Executive Budget proposal: to prohibit inappropriate gifts to doctors from pharmaceutical companies; and language to authorize DOH to contract, without competitive bid or request for proposal, with one or more firms for the purpose of conducting audits of disproportionate share hospital payments and audits of hospital cost reports.

The enacted budget rejects the appropriation and Article VII proposal to transfer from the Department of Health (DOH) to DCJS: funding and responsibility for the administration of the Rape Crisis Programs; and funding for the medical examiners program. Both programs were Aid to Localities appropriations and are not apparent in the Health enacted appropriation bill.

Adds Article VII language for the Commissioner of Health to create and implement a plan for the state to assume the administrative responsibilities of Medicaid. The Article VII language outlines that the plan would include a five-year implementation process, with full implementation by April 2016; and requires the Commissioner to submit a report to the Governor, Temporary President of the Senate, and Speaker of the Assembly by November 30, 2010 on the anticipated implementation of such plan. However, this legislation is calling only for the development of a plan – it is our understanding that actual takeover would require further legislation (analysis as of June 29, 2010).

The Assembly Resolution recommends the following changes to the Executive Budget (analysis as of 3/24/10):

Adds a $3.35 million maintenance undistributed appropriation to the Wadsworth, Spinal Cord Injury (SRO) account.
Restores $6.8 million to the Roswell Park Research Institute for cancer research (the Executive Budget proposal included a $13.6 million HCRA cut to the Roswell Park Research Institute’s Anti-Tobacco initiative).
Rejects Article VII language to prohibit inappropriate gifts to doctors from pharmaceutical companies.
Rejects Article VII language that would have established the Division of Criminal Justice Services as the administrating agency for the Rape Crisis Program and remove DOH from this responsibility.
Directs the commissioner of health to create and implement a plan for the state to assume the administrative responsibilities of the medical assistance program performed by social services districts. (PART T)
Modifies Executive Budget Proposal for contracting of DSH auditing by removing exemption from competitive bidding or request for proposal. (PART B Section 51)

The Senate Resolution recommends the following changes to the Executive Budget (analysis as of 3/22/10):

Rejects the Roswell Park Research Institute’s Anti-Tobacco initiative HCRA cut of $13.6 million.
Reduces the Medicaid Management Information System Program by $9.5 million.
Reduces the Office of Long Term Care contractual services appropriation by $3.16 million.
Proposes $5 million in funding and restores community service programs for various AIDS/HIV services and public health initiatives.

The 21-day amendments propose the following changes (analysis as of February 12, 2010):

Certain Department of Health suballocations in the Insurance Department, Regulation Program are restored to sustainable levels, including an increase of $2.18 million for the Pharmaceutical Program suballocation ($363,000 in personal service) and $556,697 in the Enhanced Newborn Screening suballocation ($422,866 in personal services).

The Executive Budget recommends (analysis as of January 19, 2010):

A SFY 2010-11 workforce of 5,479. This decreases the level of FTEs from the adjusted FTE level for SFY 2009-10 by 12. The 12 FTE reductions will be achieved through the attrition of 332 FTEs and the merger of 1 FTE, which are offset by 321 new fills.

The 1 FTE associated with the merger appears to be to the Division of Criminal Justice Services, the specific position/program should be identified at statewide Labor/Management.

The following chart identifies adjustments in the current fiscal year’s FTEs along with the recommended differences in FY 2010-11 FTEs by program (if the FTE’s are the same the program is not listed):

Program	FY 2009-10 Adjustment	FY 2010-11 Difference
Administration and Executive Direction	-32	-1
AIDS Institute	-21	-2
Community Health	-14	-1
Elderly Pharmaceutical Insurance Coverage	-4
Environmental Health	-26	+3
Health Care Financing	-15	+6
Office of Health Insurance Programs	-43	-2
Office of Health Systems Management	-51	-3
Institution Management	-57
Office of Long Term Care	-28	-5
Laboratories and Research	-15	-5
Division of Managed Care & Program Evaluation	-10	-2
Total:	-316	-12

The difference between the estimated FTEs for SFY 2009-10 and the adjusted level of 2009-10 FTEs is -316 FTEs. This should be addressed at statewide labor management.

An All Funds appropriation of $2.04 billion, a decrease of $104.5 million (-4.9%) from the enacted appropriation for SFY 2009-10. This includes a $23.5 million (-6.9%) decrease in Personal Service and a $30.9 million (-7.2%) decrease in Contractual Service funding. Most of the All Funds decrease is in special revenue funds, with the largest reductions being from the Center for Community Health Program (-$51.97 million); and the Wadsworth Program (-$16.38 million).

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.
- Administrative and Executive Direction Program, Health SPARCS, SRO (+$606,400 or +18.7%).
- Institutional Management Program:
  - NYC Veterans Home Account, SRO (+$2.27 million or +15%).

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.
- Administrative and Executive Direction Program:
  - Professional Medical Conduct Account, SRO (-$711,500 or -14.6%).
  - Vital Records Management Account, SRO (-$294,800 or -22.3%).
  - Several SRO accounts appear to have been reduced by 100%, but were actually shifted to other programs within DOH.
- Aids Institute Program (-$1.49 million or -12.4%). This decrease may reflect the Executive Budget’s proposal to consolidate various HIV/AIDS services and to shift the funding for AIDS Homeless Housing to OTDA.
- Center for Community Health Program, Tobacco Control and Cancer Services, SRO (-$602,700 or -21.8%).
- Health Care Financing Program (-$1.07 million or -19.6%) and subaccounts of this program:
  - Provider Collection Monitoring, SRO (-$873,200 or -26.8%).
  - Hospital and Nursing Home Management Account, SRO (-$744,300 or -22.8%).

Institution Management Program:
- Helen Hayes Hospital Account, SRO (-$4.77 million or -11.8%).
- Lower Hudson Veterans Home Account, SRO (-$1.82 million or -10.1%).
Office of Health Insurance Programs, Pilot Health Insurance Account, SRO (-$163,000 or -14%). This account was shifted from the Administrative and Executive Direction Program.

Office of Health Systems Management (-$6.34 million or -21.9%) and subaccount Health Occupation Development and Workplace Demo account, SRO (-$94,200 or -14.8%). This account was shifted from the Administrative and Executive Direction Program.
Office of Long Term Care (-$5.41 million or -17.7%) and subaccount Durable Medical Equipment Account, SRO (-$348,500 or -100%).

The DOH employed an estimated 1,131 contract employees in SFY 2009-10 at a cost of $77.5 million. It is estimated that in SFY 2010-11, the DOH will increase the number of consultant employees by 9 and the disbursed funds by +$3,582.

The following programs had a substantial increase in the proposed contractual services appropriation when compared to SFY 2009-10:
- Administration and Executive Program, Health SPARCS, SRO (+$395,000 or +23.8%).
- Division of Managed Care and Program Evaluation, MU for transfer or suballocation to SUNY and its subsidiaries to provide support for an evaluation of New York state’s section 1115 demonstration program, the federal state health reform partnership, F-SHRP (+$100,000 or +100%).
- Health Care Financing Program (+$1.9 million or +83.7%).

The following programs had a substantial decrease in the proposed contractual services appropriation when compared to SFY 2009-10:
- Administration and Executive Program, Professional Medical Conduct Account, SRO (-$449,000 or -27.7%).
- AIDS Institute Program (-$412,900 or -11.4%).
- Center for Environmental Health Program (-$167,000 or -10.1%).
- Institutional Management Program:
  - Western NY Veterans Home Account, SRO (-$302,100 or -15.1%).
- Office of Health Insurance Programs, MU for services and expenses related to the creation of a state enrollment portal (-$5 million or -15.6%).
- Office of Health Systems Management, Hospital and Nursing Home Management, SRO (-$5,000 or -20.8%).
- Wadsworth (-$697,000 or -9.6%) and subaccounts of this program:
  - Clinical Laboratory Reference System Assessment Account, SRO (-$606,000 or -26.7%).

Spinal Cord Injury Research Fund Account, SRO (-$7.98 million or -100%). According to budget documents contracts for spinal cord research will be phased out.

Empire State Stem Cell Research Account, SRO (-$5.2 million or -10.4%).

The Executive Budget recommends $71.6 million in direct support for Roswell Park Cancer Institute (RPCI); and $25 million for capital projects. According to the Agency Presentation, the Anti-tobacco funding of $13.6 million from HCRA for research studies was eliminated. In addition, Article VII language proposes that HCRA funding for the Roswell Park Anti-Tobacco program be discontinued. RPCI maintains the same level of FTEs, with a SFY 2010-11 workforce level of 2,025 FTEs (the attrition of 170 FTEs is offset by 170 new fills).

According to the budget documents the Executive Budget recommends an additional $29.6 million reduction to the operations of the DOH. It further states that the agency will manage this reduction through a broad range of savings actions including: strict limits on staffing; energy conservation; purchases of vehicles, supplies, equipment and contracts for technology and other services; and the development of shared services.

Article VII language authorizes DOH to contract, without a competitive bid or request for proposal, with one or more firms for the purpose of conducting audits of disproportionate share hospital payments and audits of hospital cost reports.

Article VII language prohibits inappropriate gifts to doctors from pharmaceutical companies.

Article VII language establishes the Division of Criminal Justice Services as the administrating agency for the Rape Crisis Program and removes DOH from this responsibility.

Department of Health
Program Details-State Operations
	Enacted	Proposed	Enacted	Change in	Percent
Program	2009-10 Budget	2010-11 Budget	2010-11 Budget	Appropriation	Change
All Funds	$2,140,603,500	$2,036,067,287	$2,036,067,287	($104,536,213)	-4.9%
General Fund	$309,992,400	$284,329,500	$284,329,500	($25,662,900)	-8.3%
Special Revenue - Federal	$1,260,651,000	$1,211,800,200	$1,211,800,200	($48,850,800)	-3.9%
Special Revenue - Other	$569,950,100	$539,927,587	$539,927,587	($30,022,513)	-5.3%
Enterprise Fund	$10,000	$10,000	$10,000	$0	0.0%

Personal Services	$340,248,300	$316,746,406	$316,746,406	($23,501,894)	-6.9%
Contractual Services	$430,176,500	$399,266,040	$399,266,040	($30,910,460)	-7.2%

Admin & Exec Direction Pgm	$80,027,200	$73,961,900	$73,961,900	($6,065,300)	-7.6%
Personal Service	$8,817,300	$9,169,000	$9,169,000	$351,700	4.0%
Regular	$8,757,300	$9,109,000	$9,109,000	$351,700	4.0%
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	$22,234,200	$22,234,200	$770,000	3.6%
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	$20,122,000	$20,122,000	$770,000	4.0%
Equipment	$628,300	$628,300	$628,300	$0	0.0%
Maintenance Undistributed	$750,000	$750,000	$750,000	$0	0.0%
Contractual Services	$750,000	$750,000	$750,000	$0	0.0%
Special Rev - Fed (SRF)	$9,876,000	$10,338,200	$10,338,200	$462,200	4.7%
Special Rev - Other (SRO)	$39,119,700	$31,470,500	$31,470,500	($7,649,200)	-19.6%

Child & Adult Care Food Acct - (SRF)	$818,000	$940,700	$940,700	$122,700	15.0%
Fed Food & Nutrition Services acct - (SRF)	$1,983,000	$2,264,500	$2,264,500	$281,500	14.2%
Fed Health &Human Services Fund - (SRF)	$419,000	$479,000	$479,000	$60,000	14.3%
Fed Block Grant Fund - (SRF)	$6,656,000	$6,654,000	$6,654,000	($2,000)	0.0%

Technology Transfer Acct - (SRO)	$500,000	$496,000	$496,000	($4,000)	-0.8%
Nonpersonal Service	$500,000	$496,000	$496,000	($4,000)	-0.8%
Contractual Services	$500,000	$496,000	$496,000	($4,000)	-0.8%

Health Occupation Dev & Workplace Demo - (SRO)	$2,354,200	$0	$0	($2,354,200)	-100.0%
Personal Service	$634,700	$0	$0	($634,700)	-100.0%
Regular	$594,700	$0	$0	($594,700)	-100.0%
Temporary Service	$40,000	$0	$0	($40,000)	-100.0%
Nonpersonal Service	$1,719,500	$0	$0	($1,719,500)	-100.0%
Supplies and materials	$5,000	$0	$0	($5,000)	-100.0%
Travel	$10,300	$0	$0	($10,300)	-100.0%
Contractual Services	$1,184,800	$0	$0	($1,184,800)	-100.0%
Equipment	$10,000	$0	$0	($10,000)	-100.0%
Fringe benefits	$255,100	$0	$0	($255,100)	-100.0%
Indirect costs	$254,300	$0	$0	($254,300)	-100.0%

Pilot Health Insurance Acct - (SRO)	$2,303,000	$0	$0	($2,303,000)	-100.0%
Personal Services	$1,167,400	$0	$0	($1,167,400)	-100.0%
Regular	$1,164,400	$0	$0	($1,164,400)	-100.0%
Holiday/overtime compensation	$3,000	$0	$0	($3,000)	-100.0%
Nonpersonal Services	$1,135,600	$0	$0	($1,135,600)	-100.0%
Supplies and materials	$15,000	$0	$0	($15,000)	-100.0%
Travel	$20,000	$0	$0	($20,000)	-100.0%
Contractual Services	$73,000	$0	$0	($73,000)	-100.0%
Equipment	$100,000	$0	$0	($100,000)	-100.0%
Fringe benefits	$464,400	$0	$0	($464,400)	-100.0%
Indirect costs	$463,200	$0	$0	($463,200)	-100.0%

Primary Care Initiatives Acct - (SRO)	$1,109,600	$0	$0	($1,109,600)	-100.0%
Personal Services	$597,900	$0	$0	($597,900)	-100.0%
Regular	$587,900	$0	$0	($587,900)	-100.0%
Temporary Service	$5,000	$0	$0	($5,000)	-100.0%
Holiday/overtime compensation	$5,000	$0	$0	($5,000)	-100.0%
Nonpersonal Services	$511,700	$0	$0	($511,700)	-100.0%
Supplies and materials	$5,400	$0	$0	($5,400)	-100.0%
Travel	$7,600	$0	$0	($7,600)	-100.0%
Contractual Services	$15,000	$0	$0	($15,000)	-100.0%
Equipment	$15,000	$0	$0	($15,000)	-100.0%
Fringe benefits	$235,500	$0	$0	($235,500)	-100.0%
Indirect costs	$233,200	$0	$0	($233,200)	-100.0%

Health Care Delivery Administration Acct - (SRO)	$802,900	$0	$0	($802,900)	-100.0%
Personal Service	$280,400	$0	$0	($280,400)	-100.0%
Regular	$275,400	$0	$0	($275,400)	-100.0%
Temporary Service	$5,000	$0	$0	($5,000)	-100.0%
Nonpersonal Service	$522,500	$0	$0	($522,500)	-100.0%
Supplies and materials	$20,000	$0	$0	($20,000)	-100.0%
Travel	$62,500	$0	$0	($62,500)	-100.0%
Contractual Services	$182,600	$0	$0	($182,600)	-100.0%
Equipment	$34,500	$0	$0	($34,500)	-100.0%
Fringe benefits	$111,600	$0	$0	($111,600)	-100.0%
Indirect costs	$111,300	$0	$0	($111,300)	-100.0%

Administration Program Acct - (SRO)	$12,435,900	$12,795,700	$12,795,700	$359,800	2.9%
Personal Service	$6,797,200	$7,036,000	$7,036,000	$238,800	3.5%
Regular	$6,627,200	$6,866,000	$6,866,000	$238,800	3.6%
Holiday/overtime compensation	$170,000	$170,000	$170,000	$0	0.0%
Nonpersonal Service	$5,638,700	$5,759,700	$5,759,700	$121,000	2.1%
Supplies and materials	$1,000	$1,000	$1,000	$0	0.0%
Travel	$50,000	$41,000	$41,000	($9,000)	-18.0%
Contractual Services	$2,816,000	$2,706,000	$2,706,000	($110,000)	-3.9%
Fringe benefits	$2,771,700	$3,011,700	$3,011,700	$240,000	8.7%

Heatlh-SPARCS - (SRO)	$8,098,300	$9,194,000	$9,194,000	$1,095,700	13.5%
Personal Service	$3,245,000	$3,851,400	$3,851,400	$606,400	18.7%
Regular	$3,190,000	$3,796,400	$3,796,400	$606,400	19.0%
Holiday/overtime compensation	$55,000	$55,000	$55,000	$0	0.0%
Nonpersonal Service	$4,853,300	$5,342,600	$5,342,600	$489,300	10.1%
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	$2,053,000	$2,053,000	$395,000	23.8%
Equipment	$800,000	$800,000	$800,000	$0	0.0%
Fringe benefits	$1,323,200	$1,622,400	$1,622,400	$299,200	22.6%
Indirect costs	$1,002,100	$797,200	$797,200	($204,900)	-20.4%

Professional Medical Conduct Acct - (SRO)	$8,724,300	$6,772,600	$6,772,600	($1,951,700)	-22.4%
Personal Services	$4,878,100	$4,166,600	$4,166,600	($711,500)	-14.6%
Regular	$4,868,100	$4,156,600	$4,156,600	($711,500)	-14.6%
Holiday/overtime compensation	$10,000	$10,000	$10,000	$0	0.0%
Nonpersonal Services	$3,846,200	$2,606,000	$2,606,000	($1,240,200)	-32.2%
Supplies and materials	$65,000	$45,000	$45,000	($20,000)	-30.8%
Travel	$118,000	$82,000	$82,000	($36,000)	-30.5%
Contractual Services	$1,622,000	$1,173,000	$1,173,000	($449,000)	-27.7%
Equipment	$52,000	$32,000	$32,000	($20,000)	-38.5%
Fringe benefits	$1,989,200	$1,274,000	$1,274,000	($715,200)	-36.0%

Vital Records Mgmt Acct - (SRO)	$2,791,500	$2,212,200	$2,212,200	($579,300)	-20.8%
Personal Services	$1,324,800	$1,030,000	$1,030,000	($294,800)	-22.3%
Regular	$1,199,800	$905,000	$905,000	($294,800)	-24.6%
Holiday/overtime compensation	$125,000	$125,000	$125,000	$0	0.0%
Nonpersonal Services	$1,466,700	$1,182,200	$1,182,200	($284,500)	-19.4%
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	$480,000	$480,000	($20,000)	-4.0%
Equipment	$17,000	$17,000	$17,000	$0	0.0%
Fringe benefits	$508,600	$448,500	$448,500	($60,100)	-11.8%
Indirect costs	$409,100	$204,700	$204,700	($204,400)	-50.0%

AIDS Institute	$17,899,000	$16,000,100	$16,000,100	($1,898,900)	-10.6%
Personal Service	$11,938,000	$10,452,000	$10,452,000	($1,486,000)	-12.4%
Regular	$11,918,000	$10,432,000	$10,432,000	($1,486,000)	-12.5%
Holiday/overtime compensation	$20,000	$20,000	$20,000	$0	0.0%
Nonpersonal Service	$5,511,000	$5,098,100	$5,098,100	($412,900)	-7.5%
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	$3,224,000	$3,224,000	($412,900)	-11.4%
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	$223,111,700	$171,145,000	$171,145,000	($51,966,700)	-23.3%
Personal Service	$2,871,000	$2,763,000	$2,763,000	($108,000)	-3.8%
Regular	$2,851,000	$2,743,000	$2,743,000	($108,000)	-3.8%
Holiday/overtime compensation	$20,000	$20,000	$20,000	$0	0.0%
Nonpersonal Service	$10,114,000	$9,357,000	$9,357,000	($757,000)	-7.5%
Supplies and materials	$201,000	$201,000	$201,000	$0	0.0%
Travel	$117,000	$117,000	$117,000	$0	0.0%
Contractual Services	$9,487,000	$8,730,000	$8,730,000	($757,000)	-8.0%
Equipment	$309,000	$309,000	$309,000	$0	0.0%
Special Rev. -Fed (SRF)	$203,578,000	$154,265,000	$154,265,000	($49,313,000)	-24.2%
Special Rev. -Other (SRO)	$6,548,700	$4,760,000	$4,760,000	($1,788,700)	-27.3%

Child & Adult Care Food Acct - (SRF)	$9,195,000	$9,262,000	$9,262,000	$67,000	0.7%
Fed Food & Nutrition Services acct - (SRF)	$59,276,000	$58,947,000	$58,947,000	($329,000)	-0.6%
WIC Civil Monetary Acct - (SRF)	$5,000,000	$5,000,000	$5,000,000	$0	0.0%
Fed Health & Human Services Fund 265 - (SRF)	$59,819,000	$29,993,000	$29,993,000	($29,826,000)	-49.9%
Fed Block Grant Fund-269 - (SRF)	$24,023,000	$24,014,000	$24,014,000	($9,000)	0.0%
Individuals w/ Disabilities Part C Acct - (SRF)	$46,265,000	$27,049,000	$27,049,000	($19,216,000)	-41.5%

Alzheimer's Research Acct - (SRO)	$1,000,000	$0	$0	($1,000,000)	-100.0%
Nonpersonal Services	$1,000,000	$0	$0	($1,000,000)	-100.0%
Contractual Services	$1,000,000	$0	$0	($1,000,000)	-100.0%

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	$149,000	$149,000	($1,000)	-0.7%
Nonpersonal Services	$150,000	$149,000	$149,000	($1,000)	-0.7%
Contractual Services	$150,000	$149,000	$149,000	($1,000)	-0.7%

Tobacco Control and Cancer Services Acct - (SRO)	$4,724,700	$3,937,000	$3,937,000	($787,700)	-16.7%
Personal Services	$2,767,700	$2,165,000	$2,165,000	($602,700)	-21.8%
Regular	$2,763,700	$2,159,000	$2,159,000	($604,700)	-21.9%
Holiday/overtime compensation	$4,000	$6,000	$6,000	$2,000	50.0%
Nonpersonal Services	$1,957,000	$1,772,000	$1,772,000	($185,000)	-9.5%
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	$1,071,000	$957,000	$957,000	($114,000)	-10.6%
Indirect costs	$751,000	$680,000	$680,000	($71,000)	-9.5%

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	$55,077,400	$59,279,100	$59,279,100	$4,201,700	7.6%
Personal Service	$7,695,800	$8,241,900	$8,241,900	$546,100	7.1%
Regular	$7,428,100	$7,974,200	$7,974,200	$546,100	7.4%
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	$2,070,000	$2,070,000	($167,000)	-7.5%
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	$1,494,000	$1,494,000	($167,000)	-10.1%
Equipment	$100,600	$100,600	$100,600	$0	0.0%
Special Rev. - Fed (SRF)	$18,184,000	$18,184,000	$18,184,000	$0	0.0%
Special Rev. -Other (SRO)	$26,960,600	$30,783,200	$30,783,200	$3,822,600	14.2%

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)	$9,703,000	$9,703,000	$9,703,000	$0	0.0%

Low Level Radioactive Waste Acct - (SRO)	$1,505,700	$1,586,800	$1,586,800	$81,100	5.4%
Personal Service	$664,100	$673,900	$673,900	$9,800	1.5%
Regular	$658,600	$668,400	$668,400	$9,800	1.5%
Holiday/overtime compensation	$5,500	$5,500	$5,500	$0	0.0%
Nonpersonal Service	$691,600	$762,900	$762,900	$71,300	10.3%
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	$298,000	$298,000	$36,500	14.0%
Indirect costs	$168,800	$203,600	$203,600	$34,800	20.6%
Maintenance Undistributed	$150,000	$150,000	$150,000	$0	0.0%

Environ Protect & Oil Spill Compensation - (SRO)	$338,500	$342,900	$342,900	$4,400	1.3%
Personal Services	$183,300	$175,800	$175,800	($7,500)	-4.1%
Regular	$181,300	$173,800	$173,800	($7,500)	-4.1%
Holiday/overtime compensation	$2,000	$2,000	$2,000	$0	0.0%
Nonpersonal Services	$155,200	$167,100	$167,100	$11,900	7.7%
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	$78,200	$78,200	$5,600	7.7%
Indirect costs	$46,800	$53,100	$53,100	$6,300	13.5%

Operating Permit Program Acct - (SRO)	$745,600	$773,600	$773,600	$28,000	3.8%
Personal Service	$424,700	$421,100	$421,100	($3,600)	-0.8%
Regular	$419,200	$415,600	$415,600	($3,600)	-0.9%
Holiday/overtime compensation	$5,500	$5,500	$5,500	$0	0.0%
Nonpersonal Service	$320,900	$352,500	$352,500	$31,600	9.8%
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	$185,300	$185,300	$15,500	9.1%
Indirect costs	$109,600	$125,700	$125,700	$16,100	14.7%

Asbestos Safety Training - (SRO)	$732,700	$617,100	$617,100	($115,600)	-15.8%
Personal Service	$374,000	$292,100	$292,100	($81,900)	-21.9%
Regular	$368,500	$286,600	$286,600	($81,900)	-22.2%
Holiday/overtime compensation	$5,500	$5,500	$5,500	$0	0.0%
Nonpersonal Service	$358,700	$325,000	$325,000	($33,700)	-9.4%
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	$129,400	$129,400	($23,100)	-15.1%
Indirect costs	$98,400	$87,800	$87,800	($10,600)	-10.8%

Occupational Health Clinics Acct - (SRO)	$10,180,000	$10,135,900	$10,135,900	($44,100)	-0.4%
Personal Service	$370,400	$328,200	$328,200	($42,200)	-11.4%
Regular	$364,900	$322,700	$322,700	($42,200)	-11.6%
Holiday/overtime compensation	$5,500	$5,500	$5,500	$0	0.0%
Nonpersonal Service	$9,809,600	$9,807,700	$9,807,700	($1,900)	0.0%
Supplies and materials	$4,000	$4,000	$4,000	$0	0.0%
Travel	$3,700	$3,700	$3,700	$0	0.0%
Contractual Services	$9,550,000	$9,550,000	$9,550,000	$0	0.0%
Equipment	$3,400	$3,400	$3,400	$0	0.0%
Fringe benefits	$151,000	$146,500	$146,500	($4,500)	-3.0%
Indirect costs	$97,500	$100,100	$100,100	$2,600	2.7%

Radiological Health Protection Program Acct - (SRO)	$4,369,500	$4,128,700	$4,128,700	($240,800)	-5.5%
Personal Service	$2,445,800	$2,203,500	$2,203,500	($242,300)	-9.9%
Regular	$2,426,300	$2,184,000	$2,184,000	($242,300)	-10.0%
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	$1,925,200	$1,925,200	$1,500	0.1%
Supplies and materials	$31,100	$31,000	$31,000	($100)	-0.3%
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	$976,300	$976,300	($21,100)	-2.1%
Indirect costs	$643,800	$666,500	$666,500	$22,700	3.5%

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)	$8,194,600	$7,789,500	$7,789,500	($405,100)	-4.9%
Personal Service	$4,783,200	$4,368,000	$4,368,000	($415,200)	-8.7%
Regular	$4,772,700	$4,357,500	$4,357,500	($415,200)	-8.7%
Holiday/overtime compensation	$10,500	$10,500	$10,500	$0	0.0%
Nonpersonal Service	$3,411,400	$3,421,500	$3,421,500	$10,100	0.3%
Supplies and materials	$88,800	$88,800	$88,800	$0	0.0%
Travel	$131,000	$131,000	$131,000	$0	0.0%
Contractual Services	$1,147,600	$1,147,600	$1,147,600	$0	0.0%
Equipment	$117,700	$117,700	$117,700	$0	0.0%
Fringe benefits	$1,926,300	$1,936,400	$1,936,400	$10,100	0.5%

Drinking water Program Mgt & Admin - (SRO)	$694,000	$5,208,700	$5,208,700	$4,514,700	650.5%

Child Health Insurance Prog.	$80,626,400	$79,441,400	$79,441,400	($1,185,000)	-1.5%
Special Rev. -Other (SRO)	$16,496,400	$15,333,400	$15,333,400	($1,163,000)	-7.1%
Special Rev. -Fed (SRF)	$64,130,000	$64,108,000	$64,108,000	($22,000)	0.0%

Children's Health Insurance Acct - (SRF)	$64,130,000	$64,108,000	$64,108,000	($22,000)	0.0%

Children's Health Insurance Acct - (SRO)	$16,496,400	$15,333,400	$15,333,400	($1,163,000)	-7.1%
Personal Service	$3,228,400	$3,073,400	$3,073,400	($155,000)	-4.8%
Regular	$3,178,400	$3,023,400	$3,023,400	($155,000)	-4.9%
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	$12,260,000	$12,260,000	($1,008,000)	-7.6%
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	$9,466,000	$9,466,000	($581,000)	-5.8%
Equipment	$400,000	$400,000	$400,000	$0	0.0%
Fringe benefits	$1,265,000	$1,252,300	$1,252,300	($12,700)	-1.0%
Indirect costs	$1,262,000	$847,700	$847,700	($414,300)	-32.8%

Division of Managed Care and Program Evaluation	$18,725,200	$17,376,500	$17,376,500	($1,348,700)	-7.2%
Personal Service	$12,279,200	$11,312,500	$11,312,500	($966,700)	-7.9%
Regular	$12,279,200	$11,312,500	$11,312,500	($966,700)	-7.9%
Nonpersonal Service	$6,446,000	$5,964,000	$5,964,000	($482,000)	-7.5%
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	$5,518,000	$5,518,000	($482,000)	-8.0%
Equipment	$160,000	$160,000	$160,000	$0	0.0%
Maintenance Undistributed	$0	$100,000	$100,000	$100,000	100.0%
Contractual Services	$0	$100,000	$100,000	$100,000	100.0%

EPIC	$21,911,000	$20,378,000	$20,378,000	($1,533,000)	-7.0%
Special Rev. - Other (SRO)	$21,911,000	$20,378,000	$20,378,000	($1,533,000)	-7.0%

EPIC Premium Acct - (SRO)	$21,911,000	$20,378,000	$20,378,000	($1,533,000)	-7.0%
Personal Service	$2,141,600	$2,109,600	$2,109,600	($32,000)	-1.5%
Regular	$2,141,600	$2,109,600	$2,109,600	($32,000)	-1.5%
Nonpersonal Service	$19,544,400	$18,043,400	$18,043,400	($1,501,000)	-7.7%
Supplies and materials	$30,000	$30,000	$30,000	$0	0.0%
Travel	$25,000	$25,000	$25,000	$0	0.0%
Contractual Services	$18,498,900	$16,997,900	$16,997,900	($1,501,000)	-8.1%
Equipment	$15,000	$15,000	$15,000	$0	0.0%
Fringe benefits	$975,500	$975,500	$975,500	$0	0.0%
Maintenance Undist.	$225,000	$225,000	$225,000	$0	0.0%
Personal Services	$212,000	$225,000	$225,000	$13,000	6.1%
Regular	$212,000	$225,000	$225,000	$13,000	6.1%
Nonpersonal Services	$13,000	$0	$0	($13,000)	-100.0%
Supplies and materials	$3,000	$0	$0	($3,000)	-100.0%
Travel	$3,000	$0	$0	($3,000)	-100.0%
Contractual Services	$7,000	$0	$0	($7,000)	-100.0%

Health Care Finance Program	$20,490,700	$18,344,700	$18,344,700	($2,146,000)	-10.5%
Personal Service	$5,470,100	$4,396,000	$4,396,000	($1,074,100)	-19.6%
Regular	$5,420,100	$4,346,000	$4,346,000	($1,074,100)	-19.8%
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	$4,447,000	$4,447,000	$1,940,000	77.4%
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	$4,258,000	$4,258,000	$1,940,000	83.7%
Equipment	$50,000	$50,000	$50,000	$0	0.0%
Special Rev. - Other (SRO)	$12,513,600	$9,501,700	$9,501,700	($3,011,900)	-24.1%

Provider Collection Monitoring - (SRO)	$6,072,800	$4,608,800	$4,608,800	($1,464,000)	-24.1%
Personal Service	$3,255,900	$2,382,700	$2,382,700	($873,200)	-26.8%
Regular	$3,245,900	$2,372,700	$2,372,700	($873,200)	-26.9%
Holiday/overtime compensation	$10,000	$10,000	$10,000	$0	0.0%
Nonpersonal Service	$2,816,900	$2,226,100	$2,226,100	($590,800)	-21.0%
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	$331,000	$331,000	($10,000)	-2.9%
Fringe benefits	$1,191,900	$1,051,200	$1,051,200	($140,700)	-11.8%
Indirect costs	$1,136,000	$695,900	$695,900	($440,100)	-38.7%

Hospital & Nursing Home Mgt Acct - (SRO)	$6,440,800	$4,892,900	$4,892,900	($1,547,900)	-24.0%
Personal Service	$3,261,800	$2,517,500	$2,517,500	($744,300)	-22.8%
Regular	$3,221,800	$2,477,500	$2,477,500	($744,300)	-23.1%
Holiday/overtime compensation	$40,000	$40,000	$40,000	$0	0.0%
Nonpersonal Service	$3,179,000	$2,375,400	$2,375,400	($803,600)	-25.3%
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	$1,086,200	$1,086,200	($243,800)	-18.3%
Indirect costs	$1,326,000	$766,200	$766,200	($559,800)	-42.2%

Institutional Management	$165,752,100	$158,128,787	$158,128,787	($7,623,313)	-4.6%
Special Rev. - Other (SRO)	$165,742,100	$158,118,787	$158,118,787	($7,623,313)	-4.6%
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)	$67,576,800	$60,369,676	$60,369,676	($7,207,124)	-10.7%
Personal service	$40,329,800	$35,559,555	$35,559,555	($4,770,245)	-11.8%
Regular	$36,223,800	$31,306,344	$31,306,344	($4,917,456)	-13.6%
Temporary Service	$3,150,000	$3,150,000	$3,150,000	$0	0.0%
Holiday/overtime compensation	$956,000	$1,103,211	$1,103,211	$147,211	15.4%
Nonpersonal Service	$27,247,000	$24,810,121	$24,810,121	($2,436,879)	-8.9%
Supplies and materials	$3,945,000	$3,024,121	$3,024,121	($920,879)	-23.3%
Travel	$32,000	$32,000	$32,000	$0	0.0%
Contractual Services	$19,247,000	$17,823,000	$17,823,000	($1,424,000)	-7.4%
Equipment	$823,000	$823,000	$823,000	$0	0.0%
Fringe benefits	$3,000,000	$2,908,000	$2,908,000	($92,000)	-3.1%
Indirect costs	$200,000	$200,000	$200,000	$0	0.0%

NYC Veterans Home Acct - (SRO)	$34,698,100	$36,295,010	$36,295,010	$1,596,910	4.6%
Personal service	$15,166,100	$17,440,010	$17,440,010	$2,273,910	15.0%
Regular	$13,741,100	$12,644,326	$12,644,326	($1,096,774)	-8.0%
Temporary Service	$0	$2,117,718	$2,117,718	$2,117,718	100.0%
Holiday/overtime compensation	$1,425,000	$2,677,966	$2,677,966	$1,252,966	87.9%
Nonpersonal Service	$19,532,000	$18,855,000	$18,855,000	($677,000)	-3.5%
Supplies and materials	$1,043,000	$905,000	$905,000	($138,000)	-13.2%
Travel	$52,000	$52,000	$52,000	$0	0.0%
Contractual Services	$11,196,000	$10,696,000	$10,696,000	($500,000)	-4.5%
Equipment	$466,000	$466,000	$466,000	$0	0.0%
Fringe benefits	$6,700,000	$6,661,000	$6,661,000	($39,000)	-0.6%
Indirect costs	$75,000	$75,000	$75,000	$0	0.0%

Oxford Veterans Home Acct - (SRO)	$25,092,700	$25,596,381	$25,596,381	$503,681	2.0%
Personal service	$16,269,700	$17,331,381	$17,331,381	$1,061,681	6.5%
Regular	$14,462,700	$15,324,381	$15,324,381	$861,681	6.0%
Temporary Service	$795,000	$895,000	$895,000	$100,000	12.6%
Holiday/overtime compensation	$1,012,000	$1,112,000	$1,112,000	$100,000	9.9%
Nonpersonal Service	$8,823,000	$8,265,000	$8,265,000	($558,000)	-6.3%
Supplies and materials	$4,373,000	$4,073,000	$4,073,000	($300,000)	-6.9%
Travel	$65,000	$65,000	$65,000	$0	0.0%
Contractual Services	$2,612,000	$2,397,000	$2,397,000	($215,000)	-8.2%
Equipment	$513,000	$513,000	$513,000	$0	0.0%
Fringe benefits	$1,200,000	$1,157,000	$1,157,000	($43,000)	-3.6%
Indirect costs	$60,000	$60,000	$60,000	$0	0.0%

Lower Hudson Veterans Home Acct - (SRO)	$25,511,200	$23,287,420	$23,287,420	($2,223,780)	-8.7%
Personal service	$17,973,200	$16,157,460	$16,157,460	($1,815,740)	-10.1%
Regular	$13,939,200	$12,106,539	$12,106,539	($1,832,661)	-13.1%
Temporary Service	$2,159,000	$1,809,000	$1,809,000	($350,000)	-16.2%
Holiday/overtime compensation	$1,875,000	$2,241,921	$2,241,921	$366,921	19.6%
Nonpersonal Service	$7,538,000	$7,129,960	$7,129,960	($408,040)	-5.4%
Supplies and materials	$2,389,000	$2,267,020	$2,267,020	($121,980)	-5.1%
Travel	$15,000	$13,000	$13,000	($2,000)	-13.3%
Contractual Services	$4,784,000	$4,470,940	$4,470,940	($313,060)	-6.5%
Equipment	$290,000	$365,000	$365,000	$75,000	25.9%
Indirect costs	$60,000	$14,000	$14,000	($46,000)	-76.7%

Western NY Veterans Home Acct - (SRO)	$12,478,300	$12,185,300	$12,185,300	($293,000)	-2.3%
Personal service	$8,783,300	$8,862,300	$8,862,300	$79,000	0.9%
Regular	$8,013,300	$7,607,300	$7,607,300	($406,000)	-5.1%
Temporary Service	$280,000	$385,000	$385,000	$105,000	37.5%
Holiday/overtime compensation	$490,000	$870,000	$870,000	$380,000	77.6%
Nonpersonal Service	$3,695,000	$3,323,000	$3,323,000	($372,000)	-10.1%
Supplies and materials	$828,000	$989,600	$989,600	$161,600	19.5%
Travel	$25,000	$22,500	$22,500	($2,500)	-10.0%
Contractual Services	$1,997,000	$1,694,900	$1,694,900	($302,100)	-15.1%
Equipment	$800,000	$595,000	$595,000	($205,000)	-25.6%
Indirect costs	$45,000	$21,000	$21,000	($24,000)	-53.3%

Oxford Arts & Crafts Fund Acct - (Ent)	$10,000	$10,000	$10,000	$0	0.0%

Medicaid Mgt Info Sys	$199,759,000	$199,724,000	$199,724,000	($35,000)	0.0%
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)	$105,254,000	$105,219,000	$105,219,000	($35,000)	0.0%

Health & Human Services Fund - (SRF)	$105,254,000	$105,219,000	$105,219,000	($35,000)	0.0%

Maintenance Undistributed	$0	$0	$0	$0
General Fund Offset	($112,822,000)	($112,822,000)	($112,822,000)	$0	0.0%
Special Revenue - Other (SRO)	$112,822,000	$112,822,000	$112,822,000	$0	0.0%

Hospital & Nursing Home Mgt Acct - (SRO)	$11,800,000	$11,800,000	$11,800,000	$0	0.0%
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	$953,984,500	$947,527,800	$947,527,800	($6,456,700)	-0.7%
Personal Service	$29,319,700	$28,918,400	$28,918,400	($401,300)	-1.4%
Regular	$28,968,700	$28,567,400	$28,567,400	($401,300)	-1.4%
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	$29,690,000	$29,690,000	($2,402,000)	-7.5%
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	$27,500,000	$27,500,000	($2,402,000)	-8.0%
Equipment	$831,000	$831,000	$831,000	$0	0.0%
Maintenance Undistributed	$32,000,000	$27,000,000	$27,000,000	($5,000,000)	-15.6%
Nonpersonal Services	$32,000,000	$27,000,000	$27,000,000	($5,000,000)	-15.6%
Contractual Services	$32,000,000	$27,000,000	$27,000,000	($5,000,000)	-15.6%
Special Rev. -Other (SRO)	$13,875,800	$15,505,400	$15,505,400	$1,629,600	11.7%
Special Rev. -Fed (SRF)	$846,697,000	$846,414,000	$846,414,000	($283,000)	0.0%

Health & Human Svcs - (SRF)	$846,697,000	$846,414,000	$846,414,000	($283,000)	0.0%

Medicaid Fraud Hotline & Medicaid Administration - (SRO)	$928,900	$916,900	$916,900	($12,000)	-1.3%
Personal service	$228,900	$227,900	$227,900	($1,000)	-0.4%
Regular	$228,900	$227,900	$227,900	($1,000)	-0.4%
Nonpersonal Service	$700,000	$689,000	$689,000	($11,000)	-1.6%
Supplies and materials	$25,000	$25,000	$25,000	$0	0.0%
Contractual Services	$500,000	$494,000	$494,000	($6,000)	-1.2%
Fringe benefits	$91,000	$88,000	$88,000	($3,000)	-3.3%
Indirect costs	$84,000	$82,000	$82,000	($2,000)	-2.4%

Medical Assitance Acct - (SRO)	$7,346,900	$6,991,000	$6,991,000	($355,900)	-4.8%
Personal service	$955,900	$1,019,000	$1,019,000	$63,100	6.6%
Regular	$925,900	$989,000	$989,000	$63,100	6.8%
Temporary Service	$20,000	$20,000	$20,000	$0	0.0%
Holiday/overtime compensation	$10,000	$10,000	$10,000	$0	0.0%
Nonpersonal Service	$6,391,000	$5,972,000	$5,972,000	($419,000)	-6.6%
Supplies and materials	$35,000	$30,000	$30,000	($5,000)	-14.3%
Travel	$34,000	$29,000	$29,000	($5,000)	-14.7%
Contractual Services	$5,581,000	$5,172,000	$5,172,000	($409,000)	-7.3%
Equipment	$34,000	$29,000	$29,000	($5,000)	-14.7%
Fringe benefits	$369,000	$422,000	$422,000	$53,000	14.4%
Indirect costs	$338,000	$290,000	$290,000	($48,000)	-14.2%

Pilot Health Insurance Acct - (SRO)	$0	$1,997,500	$1,997,500	$1,997,500	100.0%
Personal service	$0	$1,004,200	$1,004,200	$1,004,200	100.0%
Regular	$0	$1,001,200	$1,001,200	$1,001,200	100.0%
Temporary Service	$0	$0	$0	$0
Holiday/overtime compensation	$0	$3,000	$3,000	$3,000	100.0%
Nonpersonal Service	$0	$993,300	$993,300	$993,300	100.0%
Supplies and materials	$0	$15,000	$15,000	$15,000	100.0%
Travel	$0	$20,000	$20,000	$20,000	100.0%
Contractual Services	$0	$73,000	$73,000	$73,000	100.0%
Equipment	$0	$100,000	$100,000	$100,000	100.0%
Fringe benefits	$0	$443,500	$443,500	$443,500	100.0%
Indirect costs	$0	$341,800	$341,800	$341,800	100.0%

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 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	$94,201,600	$88,468,200	$88,468,200	($5,733,400)	-6.1%
Personal Service	$29,018,600	$22,675,700	$22,675,700	($6,342,900)	-21.9%
Regular	$28,419,600	$22,076,700	$22,076,700	($6,342,900)	-22.3%
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	$6,590,000	$6,590,000	($533,000)	-7.5%
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	$5,966,000	$5,966,000	($533,000)	-8.2%
Equipment	$201,000	$201,000	$201,000	$0	0.0%
Maintenance Undist.	$273,000	$273,000	$273,000	$0	0.0%
Personal Services	$131,000	$131,000	$131,000	$0	0.0%
Regular	$131,000	$131,000	$131,000	$0	0.0%
Nonpersonal Services	$142,000	$142,000	$142,000	$0	0.0%
Supplies and materials	$18,000	$18,000	$18,000	$0	0.0%
Travel	$50,000	$50,000	$50,000	$0	0.0%
Contractual Services	$0	$0	$0	$0
Equipment	$74,000	$74,000	$74,000	$0	0.0%
Special Rev. - Federal (SRF)	$0	$343,000	$343,000	$343,000	100.0%
Special Rev. - Other (SRO)	$57,787,000	$58,929,500	$58,929,500	$1,142,500	2.0%

Federal Health and Human Svc Fund - (SRF)	$0	$343,000	$343,000	$343,000	100.0%

Emergency Medical Services Acct - (SRO)	$20,819,300	$19,790,700	$19,790,700	($1,028,600)	-4.9%
Personal Service	$2,655,300	$2,752,300	$2,752,300	$97,000	3.7%
Regular	$2,575,300	$2,672,300	$2,672,300	$97,000	3.8%
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	$17,038,400	$17,038,400	($1,125,600)	-6.2%
Supplies and materials	$130,000	$110,000	$110,000	($20,000)	-15.4%
Travel	$180,000	$160,000	$160,000	($20,000)	-11.1%
Contractual Services	$15,693,000	$14,494,000	$14,494,000	($1,199,000)	-7.6%
Equipment	$300,000	$280,000	$280,000	($20,000)	-6.7%
Fringe benefits	$1,057,000	$1,136,000	$1,136,000	$79,000	7.5%
Indirect costs	$804,000	$858,400	$858,400	$54,400	6.8%

Health Care Delivery Admin Acct - (SRO)	$0	$819,100	$819,100	$819,100	100.0%
Personal Service	$0	$293,400	$293,400	$293,400	100.0%
Regular	$0	$288,400	$288,400	$288,400	100.0%
Temporary Service	$0	$5,000	$5,000	$5,000	100.0%
Nonpersonal Service	$0	$525,700	$525,700	$525,700	100.0%
Supplies and materials	$0	$20,000	$20,000	$20,000	100.0%
Travel	$0	$62,500	$62,500	$62,500	100.0%
Contractual Services	$0	$179,600	$179,600	$179,600	100.0%
Equipment	$0	$34,500	$34,500	$34,500	100.0%
Fringe benefits	$0	$129,600	$129,600	$129,600	100.0%
Indirect costs	$0	$99,500	$99,500	$99,500	100.0%

Health Occupation Dev and Workplace Demo Acct - (SRO)	$0	$2,166,000	$2,166,000	$2,166,000	100.0%
Personal Service	$0	$540,500	$540,500	$540,500	100.0%
Regular	$0	$500,500	$500,500	$500,500	100.0%
Temporary Service	$0	$40,000	$40,000	$40,000	100.0%
Nonpersonal Service	$0	$1,625,500	$1,625,500	$1,625,500	100.0%
Supplies and materials	$0	$5,000	$5,000	$5,000	100.0%
Travel	$0	$10,300	$10,300	$10,300	100.0%
Contractual Services	$0	$1,176,800	$1,176,800	$1,176,800	100.0%
Equipment	$0	$10,000	$10,000	$10,000	100.0%
Fringe benefits	$0	$239,100	$239,100	$239,100	100.0%
Indirect costs	$0	$184,300	$184,300	$184,300	100.0%

Primary Care Initiatives Acct - (SRO)	$0	$1,038,400	$1,038,400	$1,038,400	100.0%
Personal Service	$0	$559,000	$559,000	$559,000	100.0%
Regular	$0	$549,000	$549,000	$549,000	100.0%
Temporary Service	$0	$5,000	$5,000	$5,000	100.0%
Holiday/overtime compensation	$0	$5,000	$5,000	$5,000	100.0%
Nonpersonal Service	$0	$479,400	$479,400	$479,400	100.0%
Supplies and materials	$0	$5,400	$5,400	$5,400	100.0%
Travel	$0	$7,600	$7,600	$7,600	100.0%
Contractual Services	$0	$15,000	$15,000	$15,000	100.0%
Equipment	$0	$15,000	$15,000	$15,000	100.0%
Fringe benefits	$0	$246,500	$246,500	$246,500	100.0%
Indirect costs	$0	$189,900	$189,900	$189,900	100.0%

Hospital & Nursing Home Mgt Acct - (SRO)	$989,000	$871,000	$871,000	($118,000)	-11.9%
Personal Service	$544,000	$485,500	$485,500	($58,500)	-10.8%
Regular	$535,000	$476,500	$476,500	($58,500)	-10.9%
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	$385,500	$385,500	($59,500)	-13.4%
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	$19,000	$19,000	($5,000)	-20.8%
Equipment	$20,000	$15,000	$15,000	($5,000)	-25.0%
Fringe benefits	$222,000	$196,000	$196,000	($26,000)	-11.7%
Indirect costs	$169,000	$145,500	$145,500	($23,500)	-13.9%

Certificate of Need Acct - (SRO)	$7,020,800	$6,943,800	$6,943,800	($77,000)	-1.1%
Personal Service	$2,869,300	$2,828,700	$2,828,700	($40,600)	-1.4%
Regular	$2,859,300	$2,818,700	$2,818,700	($40,600)	-1.4%
Holiday/overtime compensation	$10,000	$10,000	$10,000	$0	0.0%
Nonpersonal Service	$4,151,500	$4,115,100	$4,115,100	($36,400)	-0.9%
Supplies and materials	$26,000	$21,000	$21,000	($5,000)	-19.2%
Travel	$38,000	$33,000	$33,000	($5,000)	-13.2%
Contractual Services	$1,970,000	$1,899,000	$1,899,000	($71,000)	-3.6%
Equipment	$42,600	$32,600	$32,600	($10,000)	-23.5%
Fringe benefits	$1,197,700	$1,215,000	$1,215,000	$17,300	1.4%
Indirect costs	$877,200	$914,500	$914,500	$37,300	4.3%

Funeral Directing Acct - (SRO)	$508,300	$518,200	$518,200	$9,900	1.9%
Personal Service	$232,300	$232,000	$232,000	($300)	-0.1%
Regular	$222,300	$222,000	$222,000	($300)	-0.1%
Holiday/overtime compensation	$10,000	$10,000	$10,000	$0	0.0%
Nonpersonal Service	$276,000	$286,200	$286,200	$10,200	3.7%
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	$102,100	$102,100	$7,100	7.5%
Indirect costs	$73,000	$76,100	$76,100	$3,100	4.2%

Patient Safety Center Acct - (SRO)	$1,000,000	$949,000	$949,000	($51,000)	-5.1%
Nonpersonal Service	$1,000,000	$949,000	$949,000	($51,000)	-5.1%
Contractual Services	$1,000,000	$949,000	$949,000	($51,000)	-5.1%

Professional Medical Conduct Acct - (SRO)	$27,449,600	$25,833,300	$25,833,300	($1,616,300)	-5.9%
Personal service	$10,495,700	$10,504,900	$10,504,900	$9,200	0.1%
Regular	$10,106,700	$10,115,900	$10,115,900	$9,200	0.1%
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	$15,963,900	$14,338,400	$14,338,400	($1,625,500)	-10.2%
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	$5,512,000	$5,512,000	$0	0.0%
Equipment	$250,000	$250,000	$250,000	$0	0.0%
Fringe benefits	$6,516,900	$4,609,600	$4,609,600	($1,907,300)	-29.3%
Indirect costs	$3,255,000	$3,536,800	$3,536,800	$281,800	8.7%
Maintenance Undistributed	$990,000	$990,000	$990,000	$0	0.0%

Office of Long Term Care	$63,391,200	$56,679,800	$56,679,800	($6,711,400)	-10.6%
Personal Service	$30,510,000	$25,095,700	$25,095,700	($5,414,300)	-17.7%
Regular	$29,574,000	$24,159,700	$24,159,700	($5,414,300)	-18.3%
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	$21,404,000	$19,675,000	$19,675,000	($1,729,000)	-8.1%
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	$19,574,000	$17,845,000	$17,845,000	($1,729,000)	-8.8%
Equipment	$415,000	$415,000	$415,000	$0	0.0%
Maintenance Undist.	$2,000,000	$2,000,000	$2,000,000	$0	0.0%
Personal Services	$300,000	$300,000	$300,000	$0	0.0%
Regular	$300,000	$300,000	$300,000	$0	0.0%
Nonpersonal Services	$1,700,000	$1,700,000	$1,700,000	$0	0.0%
Supplies and materials	$700	$700	$700	$0	0.0%
Travel	$1,300	$1,300	$1,300	$0	0.0%
Contractual Services	$1,680,000	$1,680,000	$1,680,000	$0	0.0%
Equipment	$18,000	$18,000	$18,000	$0	0.0%
Special Rev. - Other (SRO)	$9,477,200	$9,909,100	$9,909,100	$431,900	4.6%

Alzheimer's Research Acct - (SRO)	$0	$955,000	$955,000	$955,000	100.0%

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)	$2,118,200	$2,109,200	$2,109,200	($9,000)	-0.4%
Personal Service	$1,128,200	$1,128,200	$1,128,200	$0	0.0%
Regular	$1,093,200	$1,093,200	$1,093,200	$0	0.0%
Holiday/overtime compensation	$35,000	$35,000	$35,000	$0	0.0%
Nonpersonal Service	$990,000	$981,000	$981,000	($9,000)	-0.9%
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	$131,000	$131,000	($3,000)	-2.2%
Equipment	$16,000	$16,000	$16,000	$0	0.0%
Fringe benefits	$445,000	$442,000	$442,000	($3,000)	-0.7%
Indirect costs	$346,000	$343,000	$343,000	($3,000)	-0.9%

Continuing Care Retirement Community Acct - (SRO)	$249,500	$247,500	$247,500	($2,000)	-0.8%
Personal service	$33,500	$33,500	$33,500	$0	0.0%
Regular	$33,500	$33,500	$33,500	$0	0.0%
Nonpersonal Service	$216,000	$214,000	$214,000	($2,000)	-0.9%
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	$158,000	$158,000	($2,000)	-1.3%
Fringe benefits	$14,000	$14,000	$14,000	$0	0.0%
Indirect costs	$34,000	$34,000	$34,000	$0	0.0%

Durable Medical Equipment Acct - (SRO)	$661,500	$0	$0	($661,500)	-100.0%
Personal Service	$348,500	$0	$0	($348,500)	-100.0%
Regular	$348,500	$0	$0	($348,500)	-100.0%
Nonpersonal Service	$313,000	$0	$0	($313,000)	-100.0%
Supplies and materials	$23,000	$0	$0	($23,000)	-100.0%
Travel	$24,000	$0	$0	($24,000)	-100.0%
Equipment	$14,000	$0	$0	($14,000)	-100.0%
Fringe benefits	$143,000	$0	$0	($143,000)	-100.0%
Indirect costs	$109,000	$0	$0	($109,000)	-100.0%

Nurses Aide Registry Acct - (SRO)	$3,930,400	$4,079,800	$4,079,800	$149,400	3.8%
Personal service	$175,400	$175,000	$175,000	($400)	-0.2%
Regular	$174,400	$174,000	$174,000	($400)	-0.2%
Holiday/overtime compensation	$1,000	$1,000	$1,000	$0	0.0%
Nonpersonal Service	$3,755,000	$3,904,800	$3,904,800	$149,800	4.0%
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	$3,741,600	$3,741,600	$136,600	3.8%
Equipment	$8,000	$8,000	$8,000	$0	0.0%
Fringe benefits	$72,000	$78,900	$78,900	$6,900	9.6%
Indirect costs	$55,000	$61,300	$61,300	$6,300	11.5%

Quality of Care Improvement Acct - (SRO)	$2,017,600	$2,017,600	$2,017,600	$0	0.0%
Personal service	$167,600	$167,600	$167,600	$0	0.0%
Regular	$147,600	$147,600	$147,600	$0	0.0%
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	$145,646,500	$129,269,000	$129,269,000	($16,377,500)	-11.2%
Personal Service	$30,000,500	$28,603,000	$28,603,000	($1,397,500)	-4.7%
Regular	$29,130,000	$27,732,500	$27,732,500	($1,397,500)	-4.8%
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	$16,018,000	$15,321,000	$15,321,000	($697,000)	-4.4%
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	$7,285,000	$6,588,000	$6,588,000	($697,000)	-9.6%
Equipment	$5,305,000	$5,305,000	$5,305,000	$0	0.0%
Special Rev. -Federal (SRF)	$12,932,000	$12,929,000	$12,929,000	($3,000)	0.0%
Special Rev. -Other (SRO)	$86,696,000	$72,416,000	$72,416,000	($14,280,000)	-16.5%

Health & Human Svces - (SRF)	$1,556,000	$1,556,000	$1,556,000	$0	0.0%
Block Grant Fund - (SRF)	$11,376,000	$11,373,000	$11,373,000	($3,000)	0.0%

Breast Cancer Research - (SRO)	$2,600,000	$2,536,000	$2,536,000	($64,000)	-2.5%
Nonpersonal Service	$2,600,000	$2,536,000	$2,536,000	($64,000)	-2.5%
Contractual Services	$2,600,000	$2,536,000	$2,536,000	($64,000)	-2.5%

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)	$20,770,000	$20,035,000	$20,035,000	($735,000)	-3.5%
Personal service	$8,037,000	$7,929,000	$7,929,000	($108,000)	-1.3%
Regular	$7,937,000	$7,829,000	$7,829,000	($108,000)	-1.4%
Holiday/overtime compensation	$100,000	$100,000	$100,000	$0	0.0%
Nonpersonal Service	$12,733,000	$12,106,000	$12,106,000	($627,000)	-4.9%
Supplies and materials	$846,000	$846,000	$846,000	$0	0.0%
Travel	$300,000	$300,000	$300,000	$0	0.0%
Contractual Services	$2,271,000	$1,665,000	$1,665,000	($606,000)	-26.7%
Equipment	$1,441,000	$1,441,000	$1,441,000	$0	0.0%
Fringe benefits	$3,468,000	$3,447,000	$3,447,000	($21,000)	-0.6%
Indirect costs	$4,407,000	$4,407,000	$4,407,000	$0	0.0%

Evironmental Lab Fee - (SRO)	$4,777,000	$4,587,000	$4,587,000	($190,000)	-4.0%
Personal service	$1,994,000	$1,969,000	$1,969,000	($25,000)	-1.3%
Regular	$1,974,000	$1,949,000	$1,949,000	($25,000)	-1.3%
Holiday/overtime compensation	$20,000	$20,000	$20,000	$0	0.0%
Nonpersonal Service	$2,783,000	$2,618,000	$2,618,000	($165,000)	-5.9%
Supplies and materials	$295,000	$215,000	$215,000	($80,000)	-27.1%
Travel	$170,000	$130,000	$130,000	($40,000)	-23.5%
Contractual Services	$210,000	$170,000	$170,000	($40,000)	-19.0%
Equipment	$103,000	$103,000	$103,000	$0	0.0%
Fringe benefits	$837,300	$832,300	$832,300	($5,000)	-0.6%
Indirect costs	$1,167,700	$1,167,700	$1,167,700	$0	0.0%

Spinal Cord Injury - (SRO)	$8,529,000	$438,000	$438,000	($8,091,000)	-94.9%
Personal service	$224,000	$221,000	$221,000	($3,000)	-1.3%
Regular	$224,000	$221,000	$221,000	($3,000)	-1.3%
Nonpersonal Service	$8,305,000	$217,000	$217,000	($8,088,000)	-97.4%
Supplies and materials	$50,000	$0	$0	($50,000)	-100.0%
Travel	$45,000	$0	$0	($45,000)	-100.0%
Contractual Services	$7,978,000	$0	$0	($7,978,000)	-100.0%
Equipment	$15,000	$0	$0	($15,000)	-100.0%
Fringe benefits	$88,000	$88,000	$88,000	$0	0.0%
Indirect costs	$129,000	$129,000	$129,000	$0	0.0%

Empire State Stem Cell Research Acct - (SRO)	$50,000,000	$44,800,000	$44,800,000	($5,200,000)	-10.4%
Nonpersonal Service	$50,000,000	$44,800,000	$44,800,000	($5,200,000)	-10.4%
Contractual Services	$50,000,000	$44,800,000	$44,800,000	($5,200,000)	-10.4%