Final Budget. Little Snake River Rural Health Care District

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FY 7/1/17-6/30/18 Little Snake River Rural Health Care District PO Box 51 Baggs, WY 82321 307-380-6295 Carbon County Budget Hearing Information Location: LSR Higher Ed Date: 7/10/2017 Time: 7:00 p.m. Budget Prepared by: Codey Stocks S-A BUDGET MESSAGE W.S. 16-4-104(d) For the 2017-18 budget year, we have reduced the County Tax-Mil Levy funding as we have heard that there is the possibility that the mil levy will be down approximately another 7% this year. We have reduced some of our line items to account for this. S-B RESERVE DESCRIPTION We are holding capital reserves to be able to fund the replacement of the ambulances some day and to possibly help fund an assisted living type facility. The entities that oversee the ambulances and the assisted living facility will potentially be requesting funding from us for such, therefore we are prepared to help with those larger expenses. The other reserve funds have yet to be assigned to anything specific. We have transfered the capital reserves from the other reserves. S-C Date of End Does the district have regular office hours Names of Board Members of Term exceeding 20 hours per week? No Robert Stocks Patty Waldron Linda Fleming Ron Iversen Carolyn Adams 12/31/20 12/31/18 12/31/18 12/31/20 12/31/18 If no above: Are the records on file with the County Clerk as required by W.S. 16-12-10-1? Yes Where are the minutes of your board meeting available for public review? Carbon County Clerk's Office or by contacting Codey Stocks at 307-380-6295. How and where are the notices of meeting posted for the public? They are posted in the Rawlins Daily Times and on our community calendar. Where are the public meetings held? Little Snake River Higher Education Building

FINAL BUDGET SUMMARY OVERVIEW S-1 Total Budgeted Expenditures $771,610 $677,242 $959,410 $959,410 S-2 Total Principal to Pay on Debt $0 $0 $0 $0 S-3 Total Change to Restricted Funds $8,303 $0 -$420,740 -$420,740 S-4 Total General Fund and Forecasted Revenues Available $1,465,258 $1,256,514 $887,860 $887,860 S-5 Amount requested from County Commissioners $991,832 $544,451 $447,360 $447,360 S-6 Additional Funding Needed : $0 $0 REVENUE SUMMARY S-7 Operating Revenues $0 $0 $0 $0 S-8 Tax levy (From the County Treasurer) $991,832 $544,451 $447,360 $447,360 S-9 Government Support $0 $0 $0 $0 S-10 Grants $0 $0 $0 $0 S-11 Other County Support (Not from Co. Treas.) $0 $0 $0 $0 S-12 Miscellaneous $8,578 $24,283 $15,500 $15,500 S-13 Other Forecasted Revenue $0 $0 $0 $0 S-14 Total Revenue $1,000,410 $568,734 $462,860 $462,860 FY 7/1/17-6/30/18 Little Snake River Rural Health Care District EXPENDITURE SUMMARY S-15 Capital Outlay $16,654 $14,316 $89,620 $89,620 S-16 Interest and Fees On Debt $0 $0 $0 $0 S-17 Administration $19,381 $19,593 $33,500 $33,500 S-18 Operations $733,170 $643,333 $836,290 $836,290 S-19 Indirect Costs $2,405 $0 $0 $0 S-20 Total Expenditures $771,610 $677,242 $959,410 $959,410 DEBT SUMMARY S-21 Principal Paid on Debt $0 $0 $0 $0 CASH AND INVESTMENTS S-22 TOTAL GENERAL FUNDS $464,848 $687,780 $425,000 $425,000 Summary of Reserve Funds S-23 Beginning Balance in Reserve Accounts S-24 a. Depreciation Reserve $0 $0 $571,689 $571,689 S-25 b. Other Reserve $0 $0 $0 $0 S-26 c. Emergency Reserve (Cash) $2,540,951 $2,549,254 $1,977,565 $1,977,565 Total Reserves (a+b+c) $2,540,951 $2,549,254 $2,549,254 $2,549,254 S-27 Amount to be added S-28 a. Depreciation Reserve $0 $571,689 $200,000 $200,000 S-29 b. Other Reserve $0 $0 $0 $0 S-30 c. Emergency Reserve (Cash) $8,303 $0 $0 $0 Total to be added (a+b+c) $8,303 $571,689 $200,000 $200,000 S-31 Subtotal $2,549,254 $3,120,943 $2,749,254 $2,749,254 S-32 Less Total to be spent $0 $571,689 $620,740 $620,740 S-33 TOTAL RESERVES AT END OF FISCAL YEAR $2,549,254 $2,549,254 $2,128,514 $2,128,514 End of Summary Budget Officer / District Official (if not same as "Submitted by") Date adopted by Special District DISTRICT ADDRESS: PO Box 51 Baggs, WY 82321 PREPARED BY: Codey Stocks DISTRICT PHONE: 307-380-6295 Prepared in compliance with the Uniform Municipal Fiscal Procedures Act (W.S. 16-4-101 through 124) as it applies. 3/27/17 Form approved by Wyoming Department of Audit, Public Funds Division

Little Snake River Rural Health Care District NAME OF DISTRICT/BOARD PROPERTY TAXES AND ASSESSMENTS R-1 Property Taxes and Assessments Received R-1.1 Tax Levy (From the County Treasurer) $991,832 $544,451 $447,360 $447,360 R-1.2 Other County Support FORECASTED REVENUE R-2 Revenues from Other Governments R-2.1 State Aid R-2.2 Additional County Aid (non-treasurer) R-2.3 City (or Town) Aid R-2.4 R-2.5 Total Government Support $0 $0 $0 $0 R-3 Operating Revenues R-3.1 R-3.2 R-3.3 Customer Charges Sales of Goods or Services Other Assessments R-3.4 Total Operating Revenues $0 $0 $0 $0 R-4 Grants R-4.1 Direct Federal Grants R-4.2 Federal Grants thru State Agencies R-4.3 Grants from State Agencies R-4.4 Total Grants $0 $0 $0 $0 R-5 Miscellaneous Revenue R-5.1 Interest $8,578 $24,283 $15,000 $15,000 R-5.2 Other: Specify Donations $0 $0 $500 $500 R-5.3 R-5.4 Other: Additional Total Miscellaneous $8,578 $24,283 $15,500 $15,500 R-5.5 Total Forecasted Revenue $8,578 $24,283 $15,500 $15,500 R-6 Other Forecasted Revenue R-6.1 a. Other past due-as estimated by Co. Treas. R-6.2 b. Other forecasted revenue (specify): R-6.3 R-6.4 R-6.5 R-6.6 Total Other Forecasted Revenue (a+b) $0 $0 $0 $0

NAME OF DISTRICT/BOARD CAPITAL OUTLAY BUDGET E-1 Capital Outlay E-1.1 Real Property E-1.2 Vehicles E-1.3 Office Equipment E-1.4 E-1.5 Buildings & Grounds $16,654 $0 $71,620 $71,620 E-1.6 Utilities $0 $14,316 $18,000 $18,000 E-1.7 E-1.8 TOTAL CAPITAL OUTLAY $16,654 $14,316 $89,620 $89,620 E-2 E-3 E-4 ADMINISTRATION BUDGET E-2.1 E-2.2 E-2.3 E-2.4 E-2.5 E-2.6 E-2.7 E-3.1 E-3.2 E-3.3 E-3.4 E-3.5 E-3.6 Personnel Services Administrator Secretary Clerical Travel Mileage E-4.1 Legal $10,000 $10,000 $20,000 $20,000 E-4.2 Accounting/Auditing $8,650 $8,900 $12,000 $12,000 E-4.3 E-4.4 E-4.5 E-4.6 E-5 Other Administrative Expenses E-5.1 Office Supplies $731 $693 $1,500 $1,500 E-5.2 Office equipment, rent & repair E-5.3 Education E-5.4 Registrations E-5.5 E-5.6 E-5.7 E-5.8 Board Expenses Contractual Services E-6 TOTAL ADMINISTRATION $19,381 $19,593 $33,500 $33,500

OPERATIONS BUDGET E-7 E-7.1 Wages--Operations $32,870 $32,886 $35,000 $35,000 E-7.2 Service Contracts E-7.3 E-7.4 E-7.5 E-7.6 E-8 Travel E-9 E-8.1 E-8.2 E-8.3 E-8.4 E-8.5 E-9.1 E-9.2 E-9.3 E-9.4 Mileage E-9.5 E-10 E-10.1 Program Services (List) Health Care Providers $2,622 $2,756 $10,000 $10,000 E-10.2 Disaster Preparadness $0 $0 $2,500 $2,500 E-10.3 Community Care $0 $0 $10,000 $10,000 E-10.4 E-10.5 Personnel Services Operating supplies (List) E-11 Contractual Arrangements (List) E-11.1 Clinic $450,000 $260,400 $400,000 $400,000 E-11.2 EMS $101,800 $174,300 $230,800 $230,800 E-11.3 Baggs Fire $9,930 $0 $5,500 $5,500 E-11.4 Assisted Care Facility $84,000 $126,611 $78,700 $78,700 E-11.5 see additional details $50,700 $45,000 $59,890 $59,890 E-12 Other operations (Specify) E-12.1 Advertising $244 $380 $1,500 $1,500 E-12.2 Telephone $404 $400 $600 $600 E-12.3 Surety Bonds $600 $600 $800 $800 E-12.4 Newsletter $0 $0 $1,000 $1,000 E-12.5 E-13 TOTAL OPERATIONS $733,170 $643,333 $836,290 $836,290

INDIRECT COSTS BUDGET E-14 Insurance E-14.1 E-14.2 E-14.3 E-14.4 E-14.5 E-14.6 Liability Buildings and vehicles Equipment E-14.7 E-15 Indirect payroll costs: E-15.1 FICA (Social Security) taxes $1,860 E-15.2 Workers Compensation $545 E-15.3 Unemployment Taxes E-15.4 Retirement E-15.5 Health Insurance E-15.6 E-15.7 E-15.8 E-15.9 E-16 Depreciation Expenses E-17 TOTAL INDIRECT COSTS $2,405 $0 $0 $0 D-1 DEBT SERVICE BUDGET D-1.1 D-1.2 D-1.3 Debt Service Principal Interest Fees D-2 TOTAL DEBT SERVICE $0 $0 $0 $0

NAME OF DISTRICT/BOARD GENERAL FUNDS C-1 Balances at Beginning of Fiscal Year C-1.1 General Fund Checking Account Balance $464,848 $687,780 $425,000 $425,000 C-1.2 C-1.3 C-1.4 C-1.5 Savings and Investments Account Balance General Fund CD Balance All Other Funds Reserves (From Below) $2,549,254 $2,549,254 $2,128,514 $2,128,514 C-1.6 Total Cash and Investments on Hand $3,014,101 $3,237,034 $2,553,514 $2,553,514 C-2 General Fund Reductions: C-2.1 a. Unpaid bills at FYE C-2.2 b. Reserves $2,549,254 $2,549,254 $2,128,514 $2,128,514 C-2.3 Total Deductions (a+b) $2,549,254 $2,549,254 $2,128,514 $2,128,514 C-2.4 Non-Restricted Funds Available $464,848 $687,780 $425,000 $425,000 DEPRECIATION RESERVE (CAPITAL OUTLAY - REPLACEMENT) C-3 C-3.1 Beginning Balance in Reserve Account (end of previous year) $0 $0 $571,689 $571,689 C-3.2 C-3.3 Amount to be added to the reserve $0 $571,689 $200,000 $200,000 C-3.4 C-3.5 SUB-TOTAL $0 $571,689 $771,689 $771,689 C-3.6 C-3.7 Identify the amount to be spent from "Reserve for Capital Outlay" a. C-3.8 b. C-3.9 c. C-3.10 C-3.11 TOTAL CAPITAL OUTLAY (a+b+c) $0 $0 $0 $0 C-3.12 Balance to be retained in Depreciation Reserve Account $0 $571,689 $771,689 $771,689 OTHER RESTRICTED FUND BALANCES - RESERVE (LEGALLY ENFORCED) C-4 C-4.1 Beginning Balance in Reserve Account (end of previous year) $0 $0 C-4.2 C-4.3 Amount to be added to the reserve C-4.4 C-4.5 SUB-TOTAL $0 $0 $0 $0 C-4.6 C-4.7 Identify the amount and project to be spent from "Other a. C-4.8 b. C-4.9 c. C-4.10 C-4.11 TOTAL OTHER RESERVE OUTLAY (a+b+c) $0 $0 $0 $0 C-4.12 Balance to be retained in Other Reserve Account $0 $0 $0 $0 ASSIGNED FUND BALANCE (EMERGENCY RESERVE - NOT COMMITTED) C-5 C-5.1 Beginning Balance in Reserve Account (end of previous year) $2,540,951 $2,549,254 $1,977,565 $1,977,565 C-5.2 C-5.3 Amount to be added to the reserve $8,303 C-5.4 C-5.5 SUB-TOTAL $2,549,254 $2,549,254 $1,977,565 $1,977,565 C-5.6 Amount to be spent from Emergency Reserve (Cash) $571,689 $620,740 $620,740 C-5.7 C-5.8 Balance to be retained in Assigned Fund Balance $2,549,254 $1,977,565 $1,356,825 $1,356,825 C-5.9 TOTAL TO BE SPENT $0 $571,689 $620,740 $620,740