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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3D - I 6 - 61(;? f

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 "~<"

I I I I T ... c-'. a.a..-.IdalioM . .

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,;"

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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