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203449ORIGINAL T(5,CITY CLERK PRESENT51) COMMISSIi CITY OF ST. PAUL FILE NO. NO. _ OFFICE OF THE CITY CLERK / COUNCIL RESOLUTION— GENERAn FORM RESOLVED, that the Council of the City of Saint Paul hereby approves and concurs in the action of the Board of County Cummissioners of the County of Ramsey adopting the budget for the calendar year 1962 of the County Welfare Board of the City of Saint Paul and County of Ramsey,as recommended by the Fact Finding Committee, in the total amount of $19,355,703.00 less total estimated receipts and grants in the.amda,4, of 58,660,505.00, or a net budget to be raised by tax levy of $10,695,198.00, of which the County's 7222-% share amounts to $7,754,018.55 'and the City's 27j% share amounts T,o 42, 941,179.45. COUNCILMEN Yeas Nays DeCourey Holland Loss Mortinson Peterson Rosen 3M 6-61 Council File No. 203449 —By Mrs. Donald M. DeCourcy— George ,T.- Vavoulis, Mayor — Resolved, That the Council of the City of Saint Paul hereby approves and concurs in the action of the Board of County Commissioners of the County of Ramsey adopting the budget for the calendar year 1962 of the County Welfare Board of the City of Saint Paul and County of Ramsey, as recom- mended by the Fact Finding Committee, in .the total amount of $19,355,703.00 less total estimated receipts and grants in the amount of $8,660,505.00, or a net budget to be raised by tax levy of 720�89 sh 5 . a of which t the County's $7,754,018.55 'and the City's 27;x% share amounts to $2,941,179.45. Adopted by the Council August 10, 1961. 1 .Approved August 10, 1961. If 'August 12, 1961) Adopted by the CouA81; 101961 19— AUG 101 tz: 19— In Favor Mayor gainst i t' �f I� F }f' k "e '1 a BOARD OF RAMSEY COUNTY " GOMMISSIONERS STATE OF MINNESOTA OFFICE OF THE SECRETARY EUGENE A. MONICK COUNTY AUDITOR Ramsey County Welfare Department Attention: Miss Ruth L. Bowman, Director Mr. Eagene A. Monick, County Auditor Attention: William J. Peters, General'Accauntant Mr. Joseph J. Mitchell City Comptroller Council of City of St. Paul Mrs. Agnes O'Connell, City Clerk Gentlemen: RAMSEY COUNTY COURT HOUSE SAINT PAUL 2 MINNESOTA COMMISSIONERS GEORGE J. VAVOULIS CHAIRMAN WILLIAM E. CARLSON JOHN E. DAUBNEY EDWARD K. DELANEY HAROLD F. GOODRICH ROY P. NADEAU ED DSSALVERDA "0� August 8, 1961 You are advised that the Board of Ramsey County Colmmissioners in session on August 7, 1961, by unanimous vote of the members present took the following action: "Commissioner Daubney moved, seconded by Commissioner Carlson, adoption of the %lfare Department budget for 1962 as recommended by the Fhct Finding Committee in the total amount of $19,355,703.00, less total estimated receipts and grants in the amount of 48,660,505.00, or a net budget to be raised by tax levy of $1.0,695,198.00, of which the county's 72 1/2% share amounts to $7,754,018.55, and the City's 27 1/2% share amounting to $2.,941.,179 . 45. Roll can: AYes - 5. Nays - 0. (i529) Yours very truly, FI3G A. MDEICR, Canty Auditor . D. , Ewcutive Secretary JDS:f 'OFFICE' OF CITY CLERK BUREAU OF RECORDS 386 City Hall and Court House St. Paul 2, Minnesota AUG CORPORATION COUNSEL Mr. Robert J. Swords Corporation Counsel Building Dear Sir; MRS. AGNES H. O'CONNELL Cify Clerk HAROLD J. RIORDAN Council Recorder August 8, 1961 The City Council requested that you prepare a resolution approving the 1962 budget of the Ramsey County Welfare Board as hereto attached and as modified by the Fact - Finding Committee. Very truly your City Clerk - MINNESOTA F <k ;4 �k Report of Fact Finding Committee To the Honorable George J. Vavoulis President, Council of City of St. Paul Chairman, Board of Ramsey County Commissioners Honorable Members of the Council of City of St. Paul August 4, 1961 Honorable, Members of Board of Ramsey County Commissioners The Fact Finding Committee of the City Council and the Board of County Commissioners appointed to study the Ramsey County Welfare Board's 1962 Budget request submits its findings and recommendations for approval by the City Council and Board of County Commissioners. Commissioner Edward K. Delaney Chairman Commissioner Mrs. Donald M. DeCourcy Vice - Chairman Commissioner- Bernard T. Holland Commissioner Robert F. Peterson Commissioner William E. Carlson Commissioner John,E. Daubney Mr. Joseph J. Mitchell, City Comptroller Mr. Eugene A. Monick, County Auditor Mr. John W. Connelly, 'Research Director City of St. Paul Consultants Ruth L. Bowman, Executive Director, County, Welfare- Department Bernard J. Selbitschka, Controller, County Welfare Department ClemO'ns J. Schlecf , Accountant, City Comptroller's Department William J. Peters, General Accountant, County Auditor's Departmeri ID,91�/ C , - i� � K .F <k ;4 �k Report of Fact Finding Committee To the Honorable George J. Vavoulis President, Council of City of St. Paul Chairman, Board of Ramsey County Commissioners Honorable Members of the Council of City of St. Paul August 4, 1961 Honorable, Members of Board of Ramsey County Commissioners The Fact Finding Committee of the City Council and the Board of County Commissioners appointed to study the Ramsey County Welfare Board's 1962 Budget request submits its findings and recommendations for approval by the City Council and Board of County Commissioners. Commissioner Edward K. Delaney Chairman Commissioner Mrs. Donald M. DeCourcy Vice - Chairman Commissioner- Bernard T. Holland Commissioner Robert F. Peterson Commissioner William E. Carlson Commissioner John,E. Daubney Mr. Joseph J. Mitchell, City Comptroller Mr. Eugene A. Monick, County Auditor Mr. John W. Connelly, 'Research Director City of St. Paul Consultants Ruth L. Bowman, Executive Director, County, Welfare- Department Bernard J. Selbitschka, Controller, County Welfare Department ClemO'ns J. Schlecf , Accountant, City Comptroller's Department William J. Peters, General Accountant, County Auditor's Departmeri ID,91�/ C , - i� •�C ,F .t f 'k Welfare Salaries Central Adm. ,We if are Adm . :Welfare Soc,Ser. �4 Tot al ,General Increase i� Total Air Conditioning �4 0ther Opr. Exp. F Total COL,,N Y -WBL-F-Ajc -B litrPARTMENI COMPARISON 1961• BUDGET _ 1962 BUDGET REQUEST AND 1962-BUDGET-RECOMMENDED BY PACT FINDING COMMITTEE 1961 Budget 1962 Budget Request Revised Budget Recommended By Fact Finding Committee Increase Or (Decrease) Over Request 201542.00 207252.00 207252.00 Operating Exp, 1443845.00 1558740.00 280124.00 306626.00 306626.00 100000.00 952586,00 1103348:00 11.0334&.00 --(88688.00) 1434252•.00 1617226.00 1617226.00 " 63150.00 - 54000.00 (54000.00) 1497402.00 1671226.00 •1617226.00 (54000.00) 18000.00 18000.00 192750.00 205012:00 201512.00 (3500.00) 1690152.00 1894238.00 1836738.00 (57500.00) Ancker Hospital Salaries 4271500.00 4377920.00 4337660.00 (40260.00) Operating Exp, 1443845.00 1558740.00 1551840.00 `k Social Services *Psy. Services 141528.00 100000.00 (41528.00) Total 5715345.00 6078188.00 " Surplus Food --(88688.00) 44220.00 42620.00 (1600.00) e� Old Age Assistance 3664900.00 4196200.00 4196200.00 Aid to Dependent z Children 2173363.00 3041813.00 2941813.00 (100000.00) Aid to the Blind 15920.00 175482.00 175482.00 Aid to Disabled 130530.00 194376.00 18.4376.00 (10000.00) Gen,r'al Relief 1700000.00 2073676.00 2006216.00 (67460.00) - �Chy "1d Welfare 728530.00 779600.00 779600.00 P_aryments to State 'Institutions 105000.00 110700.00 108700.00 (2000.00) Disabled Veterans 9000.00 9000.00 9000.00 - Total 10358395..00 12519305 :00 -12280745 :00 - (2 8560.00, Ancker Hospital Salaries 4271500.00 4377920.00 4337660.00 (40260.00) Operating Exp, 1443845.00 1558740.00 1551840.00 (6900.00) *Psy. Services 141528.00 100000.00 (41528.00) Total 5715345.00 6078188.00 5989500:00 --(88688.00) Ramsey Countv Home Salaries 477033.00 476936.00 .469723..00 (6313.00) Operating Exp. 186530.00 190255.00 1889'55.00 (1300.00) Special Bldg. Fund 10000.00 Total 673563.00 666291.00 658678.00 (7613.00 Public Employees Retirement Gross Budget 389950.00 426780.00 426.780.00 17137253 00 196.90564.00 19.355703.00 (33486.1.00) Welfare Salaries Social Serv. Old Age Assistance Aid to Dependent Children Aid to the Blind Aid to Disabled F General Relief Child Welfare Payments to State Institutions Total Ancker Hospital :Salaries ;;Operating Expenses ""- Psyehiatric Services q� Total ri Ramsey County Home J Salaries ;: Operating Expenses is Total Grand Total Gross Budget Less. Receipts & Grants Net Budget City & County Share Less Surplus Appro. County Share 722 City Share 272 1461 125000.00 2785000.00 1650000.00 110000,00 105000.00 194770.00 110000.00 Recommended 1962 1962 155000.00 160000.00 3065262.00 3065262.00 2281306.00 2206306.00 120864.00 120864.00 156303.00 148303.00 209770.00 209770,00 135000.00 140000.00 Increase or (Decrease) 5000.00 (75000.00) (8000.00) 5,000.00 15000.00 18000,00 (18000.00) 5094770.00 6141505.00 6050505.00 _(91000.00) 1200000.00 1200000.00 1250000,00 50000.00 760000.00 860000,00 860000.00 70000.00 50000.00 (20000.00) 1960000.00 2130000.00 2160000.00 - 3.0000.-00 250000.00 275000.00 300000.00 25000.00 150000,00 150000.00 150000.00 400000.00 42.5000.-00 450000.-00 25000.00 7454770.00 8696505.00- 8660505.00 (36000.00) 1713725.3,00 .19690564.00 19355703,00 (33486.1.00) 7454770,00 8696505.00 8660505.00 36000.00 9682483.00 109.9 - 4059,:00:: 10695198:,:00 (:298861.00 100000,00 9582483.00 6947300.18 7970692.77 7754018.55 (216674..22) 2635182.82 3023366.23 2941179.45 (82186.78) 9582483.00 10994059.00 •10695198.00 (298861.00) Comparison of 1962 - 1961 Total Budgets as Recommended By Fact Finding-Committee Gross Budget 1962 - Revised 19355703.00 Gross Budget 1961 - 17137253.00 Increase 2218450.00 Receipts - 1962 - Revised 8660505,00• Receipts - 1961 . - Revised 7454770.00 Increase 1205735.00 City & County Share - 1962 - Revised 10695198.00 City & County Share - 1961 - Revised 9682483.00 Less: Surplus Appropriated 100000.00 9582483.00 Increase 1112715,00 i :r ji. s' i Jt v� 74 .l A: J� �E 'F - 4 - Each member of the City Council and Board of County Commissioners received a copy of the 1962 Budget prepared by the County Welfare Board and referred to the Fact Finding Committee for study and recommendations. An explanation of the changes, either increases or decreases in the County Welfare• Board's request is included in this report. WELFARE DEPARTMENT Salaries The.-County Welfare Board's request for additional positions of a Directdr of Case- Work Services, three case workers for' Delinquent Girls, Adoptions and Home Finding and two Case Aids for the Services to the -Mentally Deficient and' Family Services, or a total of six positions over the actuals for 1961 . is recommended for approval. It is recommended that the item of $54, 000 for general increases be deleted. The. Minnesota County Welfare• Merit System anticipated the increase but the, Commissioner of Public Welfare has not acted and,if he does, the results of his action will not be known until approximately September 1st. Public Employee's' Retirement Fund A special tax levy is made for this payment. It has been included as an -ear- marked item in the gross budget. However, in order to show the total expense of operating the Departments and Institutions, the- Welfare Department's share is shown as part of this report. The 1962 share of the PERA payment is $97, 991. 00 as compared to $89, 250. 00 for 1961, or an increase of $8, 741. 00. Operating Expense The Committee recommends a decrease of $3, 500.00 in office supplies and Welfare, Fund Insurance. Surplus Food' Distribution The- Committee recommends that the request of $44, 220. 00 be reduced by $1600. 00. This is a new item in the budget for 1962, although the County, Wel- fare Board expects to begin distribution in, October, 1961. Salaries were reduced by- $4, 000. 00, but rent was increased by $2400. 00, as the actual rather than the estimated cost was available to the Committee. Old Age Assistance The. Committee made no change in this request. - It is noted that the increase in costs are in medical care and nursing home payments. Aid to Dependent Children The Committee recommends a decrease in the estimate for maintenance of $100, 000. 00. The estimate of State and Federal reimbursements will then be reduced by $75, 000. 00 resulting in a net decrease of $25, 000. 00. The Com- mittee felt that this program should, "level off" and that the estimate of increase for 1962 is too high. - 5 - Aid to the Blind �a The Committee recommends no change in this request. Aid to Disabled r The Committee recommends a decrease of $10, 000 in this estimate. The estimate of State and Federal reimbursements will be reduced by $8, 000. 00, resulting in a net decrease of $2, 000. 00. ' General Relief .E The Ramsey County WelfareBoard informed the Committee that before the y budget of $2, 073, 676. 00 for 1962 was finally determined, a reduction of .F $430, 534. 00 was made as a result of adjustments in policy and standards of relief. The, Committee recommends that the request be further reduced by $67, 460. 00. This reduction is to be accomplished by a reduction of $22; 235. 00 jr in.Shelter, $20, 000 in Fuel,. $20, 000 in Utilities (which includes gas for heating) and $5, 225. 00 in Meals and Lodging. Child Welfare Relief The Committee recommends no change in these estimates. The budget includes $15, 348. 25 increase in Boarding. Home Rates, which represents an increase of 5 cents per day per child, and 2 additional subsidized group homes requested by the Juvenile Court, the Dentention Authority and the Planning and' Research Council. Cash receipts are increased by- $5, 000. 00 which has the effect of decreasing the net budget to be met from local funds by $5, 000. 00. Payments to- State. Institutions t37- 11VAT -I The - Committee recommends a decrease of $2, 000 in the ,...` at-e of payments to the State School and Hospital at Faribault and the Cambridge State School and Hospital for the care of Mentally, Deficient children and adults. The 1961 Legislature amended the law to provide for payments of $120. 00 per year as compared to the present payment by County Welfare Board of $80. 00 per year. It also provided that the State make all collections from legally responsible relatives. This had been done by County Welfare Boards until July 1, 1961. Cash receipts of $18, 000 which were the estimated collections by the County Welfare Board are deleted. Disabled Veterans The Committee recommends no change in this account. Air Conditioning of Welfare Building at 476 St. Peter Street The Committee appointed in 1960 to study the 1961 Budget request recommended that an item for air conditioning the Welfare Building be deleted from the 1961 Budget but that the matter be brought up for hearing in 1962. The Welfare Board has included.$18, 000 for air conditioning the 4t1j, floor of the Welfare Building. The Committee requested that current estimates be obtained for completing the entire building. Gausman and Moore, Consulting Engineers, estimated that it would cost $80, 000 for the entire building. 'The Committee does not recom- mend that the work be done a floor at a time which. would mean the installation of separate units. It is recommending that $18, 000 be included in* the 1962 Budget and that it be ear - marked for air conditioning and that it not be used t' 31 �i f i� F r �E E ,t .f =R unless sufficient savings can be made to provide for the entire building. If this can be accomplished, the County WelfareBoard may submit a request and recom- mendation for this work to the City Council and Board of County Commissioners for consideration and approval. If it is not possible to complete the entire building in 1962, the appropriation of $18, 000 shall be carried over to 1963 as an ear - marked fund to be used for air conditioning. ANCKER HOSPITAL Salaries The Committee reviewed each department's salary request and recommends that the County Welfare Board's request for 5 additional positions be approved. These are 1 Clerk- Stenographer, 1 Utility Engineer, 1 Radiologist, 1• Cancer. Cystolo- gist, and 1 Nurse in the Out - Patient Department. - Estimates of needs for the Medical and Surgical services, including personnel on the- County Welfare- Board payroll and Educational Services furnished by the,University of Minnesota_ Medical School and paid by the • Welfare Board were recalculated by, Dr. Broadie. This resulted in a decrease of $8, 260. 00 in the Welfare Board paid staff and $19, 000. 00 in the amount estimated for payment to the University Medical School for a total reduction of $27, 260. 00. Other salary recalculations provided for reductions of $4, 000 in Intensive Services- Medical Department,- $3, 000 in Tuberculosis Services salaries and $6, 000 in Laundry Department salaries. Public Employees Retirement Fund PERA was exclujOed from the individual department and institutional budgets and added as a total item to the gross budget. • However, in order to show a com- parison of costs of Ancker Hospital, it should be noted that $273, 500. 00 was included inthe 1961et for this item as compared to $298, 773. 00 for 1962, for an increase of $25, 273. 00. Operating Expense Major increases in operating expenses are accounted for by new equipment, $40, 540. 00, drugs $40, 000. 00, food $14, 000. 00 and $18, 255. 00 in all other expense account increases. The Committee recommends a reduction of $4500.00 in the Administration operating account, $3, 000. 00 in Operations of Plnatr $2, 000 in. Housekeeping, and $1,400 in.Surgical Research. Laboratory. An increase of $4, 000. 00 is recommended for medical and surgical supplies as it appears that this item was underestimated. The net reduction in operating expense is $69900.00. Psychiatric Services A special request was included in the 1962 Budget for- Psychiatric In- Service and Out - Patient services. The estimates submitted by the Welfare Board were the resit of studies by the Ancker-Hospital staff and interested community mental health agencies and organizations. In order to provide basic In�Patient and Out�Patient services, 15 staff positions were requested. A special meeting was held to which members of the City and County governing bodies were invited. Members of the Ancker Hospital medical staff, County Welfare-Board and Com- munity organizations presented testimony as to the need for the proposed psychiatric services. The possible loss of University Medical school affiliation iE gt . - 7 - F �F !F °f in medical services and the loss of the presentsupervisory and teaching services of the voluntary psychiatric staff as well 'as the lack of adequate services to serve the people in the community suffering from potential and actual mental illness was =� emphasized. The availability of matching State, Mental Health funds for Out - Patient ,# Psychiatric Services and the establishment of a Community Mental Health Board to request and administer these funds was explained. • It was the consensus of the Fact Finding Committee that an appropriation be included in the 1962 budget for E the establishment of Psychiatric Services at the Ancker 'Hospital, The Welfare Board included in the budget request, 15 staff positions at a cost of $136, 728. 00 and $4800. 00 for equipment for a total of $141, 528. 00 . $70, 000 was estimated from State •Mental Health fund contributions leaving $71, 528. 00 as the net amount to be met from local tax funds. The Committee after duly considering the testimony of psychiatrists and others Y� that it was unlikely that the total staff of 15 could be recruited in 1962 and that State Mental Health funds had been committed for the period of July 1961 to July, 1962, recommends that $100, 000 be included in the 1962 budget for- Psychiatric Services •' at the Ancker Hospital and that $50, 000 be estimated as a contribution from ±� State. Mental Health funds, leaving, $50, 000 to be expended from local tax funds. It is further recommended that these funds be ear - marked for this service. If additional staff can be recruited and the cost will exceed the amount set up in the budget from local tax funds, the Committee recommends that the County Welfare Board submit this information to the Cityand County governing bodies and the Community Mental Healfa Board for study anq consideration of additional funds to. be provided for this service. Estimated Receipts The Committee recommends that the estimate of $2, 000, 000. 00 to be collected for patient care be increased by $50, 000. 00 and that Receipts from the State of Minnesota for care of Tuberculosis patients be reduced by $10, 000. 00. The recommendation for reduction of the estimate for the new Out - Patient Psychiatric service from $70, 000 to $50, 000 is included in the report on Psychiatric- Services. The revised estimate for Ancker Hospital receipts is $2, 160, 000. RAMSEY COUNTY HOME Salaries The Committee recommends a reduction of $6, 313. 00 in nursing service salaries. No other adjustments are commended. Public Employees'. Retirement Funds The inclusion of PERA payments has been explained in both the Ancker Hospital and the Welfare Department recommendations. However, in order to show the total cost of the Ramsey CountyHome, it should be noted that $27, 200. 00 is included in the 1961 appropriation as compared to, $30, 016. 00 estimated for 1962 for an increase of $2, 816. 00. Operating Expense The Committee recommends that the request for durgs in the- Medical and Surgical Services Department be reduced by $1300. 00. No other changes are recommended. J. 7- 1. 1• ,t a; jF. of �F r ar 3�- ;E s ;r 7r Estimated. Receipts The, Committee recommends that estimated receipts be increased by $25, 000. 00 for a total to be collected for patient care- $450, 000. 00. aF 'F r Report of Fact Finding Committee August 4, 1961 �I �4 p To the- Honorable- George J. Vavoulis President, Council of City of St. Paul Chairman, Board of Ramsey County Commissioners i` x Honorable Members of the Council of City of St. Paul F Honorable, Members of Board of Ramsey County Commissioners ,k 1� The Fact Finding Committee of the City Council and the Board of County Commissioners appointed to study the Ramsey County Welfare- Board's 1962 Budget request submits its findings and recommendations for approval by the City Council and Board of County Commissioners. Commissioner Edward K. Delaney Chairman Commissioner Mrs. Donald M. DeCourcy Vice - Chairman Commissioner- Bernard T. Holland Commissioner. Robert F. Peterson Commissioner William E. Carlson Commissioner John E. Daubney Mr. Joseph J. Mitchell, City Comptroller Mr. Eugene A. Monick, County Auditor Mr. John..W. Connelly, Research Director City of St. Paul Consultants Ruth L. Bowman, Executive Director, County, Welfare- Department Bernard J. Selbitschka, Controller, County Welfare Department Clemdns J. Schlec4 Accountant, City Comptroller's Department William J. Peters, General Accountant, County Auditor's. Department 9L << Surplus Food 44220.00 42620.00 COu�yY'Y -WE�L-FAKE litMRTMEN'1 COMPARISON 1961 BUDGET _ 196.2 BUDGET REQUEST AND 4196200.00 4196200.00 1962 BUDGET -RECOMMENDED-BY FACT FINDING COMMITTEE f Children Budget 3041813.00 2941813.00 ;•(100000.00) Aid to the Blind 15E920.00 Recommended Increase F Aid to Disabled 130530.00 1962 Budget By Fact Or (Decrease) E 1700000.00 2073676.00 Request Finding Over Or 779600.00 1961 Budget Revised- Committee Request. ;Welfare Salaries z 'Institutions 105000.00 110700.00 .,Central Adm. 201542.00 207252.00 207252.00 9000.00 -,Welfare Adm. 280124.00 306626.00 306626.00 (213560.00 .;Welfare Soc.Ser. 952586.00 1103348:00 11.03349.00 f Total 1434252.00 1617226.00 1617226.00 General Increase 63150.00 -.54000.00 (54000.00) _ Total 1497402.00 1671226.00 1617226.00 (54000.00) ;$ Air Conditioning 18000.00 18000.00 Other Opr. Exp. 192750.00 20501-2:00• 201512.00 (3500.00) Total 1690152.00 1894238.00 1836738.00 (57500.00) Social Services << Surplus Food 44220.00 42620.00 (1600.00) Old Age s Assistance 3664900.00 4196200.00 4196200.00 Aid to Dependent Children 2173363.00 3041813.00 2941813.00 ;•(100000.00) Aid to the Blind 15E920.00 175482.00 175482.00 Aid to Disabled 130530.00 194376.00 18,4376.00 (10000.00) Genral Relief 1700000.00 2073676.00 2006216.00 (67460.00) jChAd Welfare 728530.00 779600.00 779600.00 P.aiyments to State z 'Institutions 105000.00 110700.00 108700.00 (2000.00) D- isabled Veterans 9000.00 9000.00 9000.00 Total 10358395.00 12519305 :00 -12280745:00- (213560.00 Ancker Hospital Salaries Operating Exp. *Psy. Services Total 4271500.00 4377920.00 1443845.00 1558740.00 141528.00 4337660.00 (40260.00) 1551840.00 (6900.00) 100000.00 (41528.00 571.5345.00 6078188.00 5989500.00 -(88688.00) Ramsey County Home Salaries 477033.00 476036.00 469723..00 (6313.00) Operating Exp. 186530.00 190255.00 188955.00 (1300.00) Special Bldg. Fund 10000.00 Total 673563 00 666291.00 658678.00 (7613.00 Public Employees RPtirPmPnt 389950.00 426780.00 426.780.00 Gross Budget 17137253 00 19690564.00 19355703.00 (33486.1.00) 7' t Welfare Salaries Social Serv. Old Age Assistance Aid to Dependent - .Children Aid to the Blind Aid to Disabled General Relief Child Welfare Payments to State Institutions Total 1f 'Ancker Hospital Salaries Operating Expenses Psychiatric Services j` Total Ramsey County Home Salaries Operating Expenses Total Grand Total Gross Budget Less. Receipts & Grants Net Budget City & County Share Less Surplus Appro. 1200000.00 1200000.00 1250000.00 50000.00 Recommended Increase or 19.61 1962 1962 (Decrease) 125000,00 155000.00 160000.00 5000.00 2785000.00 3065262.00 3065262.00 8660505.00 1650000.00 2281306.00 2206306.00 (75000.00) 110000.00 120864.00 120864.00 1205735.00 105000,00 156303.00 148303.00 (8000.00) 194770.00 209770.00 209770.00 Surplus Appropriated 110000.00 135000.00 140000,00 5000.00 15000,00 18000,00 (18000.00) 5094770000 6141505.00 605.0505.00 (91000.0 1200000.00 1200000.00 1250000.00 50000.00 760000.00 860000.00 860000.00 70000,00 50000.00 -(20000,00) 196.0000.00 2130000.00 2160000.00 30000.-00 250000.00 275000.00 300000.00 25000.00 15.0000.00 150000.00 150000.00 400000.00 - - 42.5000.00 450000.-00 25000.00 7454770.00- 8696.5.05.00 • 8660505.00 (36.000.00) 17137253,00 19690564.00 19355703.00 (33486.1.00) 7454770,00 86965-05.00 8660505.00 36000.00 9682483.00 109.9.4059,.00 :: 1069.5.198.,:00 .(298861.00 100000,00 9582483.00 County Share 722 6947300.18 7970692.77 7754018.55 (216674..22 City Share, 272 2635182.82 3023366.23 2941179.45 (82186.78 9582483.00 10994059.00 •10695198.00 (298861.00 Comparison of 1962 - 1961 Total Budgets as Recommended By Fact Finding-Committee Gross Budget 1962 - Revised 19355703.00 Gross Budget 1961 - 17137253.00 Increase 2218450.00 Receipts - 1962 - Revised 8660505.00 Receipts - 1961 - Revised 7454770.00 Increase 1205735.00 City & County Share - 1962 - Revised 10695198.00 City & County Share - 1961 - Revised 9682483.00 Less: Surplus Appropriated 100000.00 9582483.00 Increase 1112715.00 :l =E s_ .r ;6 y: :r _r 7} - 4 - Each member of the City Council and Board of County Commissioners received a copy of the 1962 Budget prepared by the County Welfare Board and referred to the Fact Finding Committee for study and recommendations. An explanation of the charges, either increases or decreases in the County Welfare Board's request is included in this report. WELFARE DEPARTMENT Salaries The County Welfare Board's request for additional positions of a Directdr of Case Work Services, three case workers for- Delinquent Girls, Adoptions and Home Finding and two Case Aids for the Services to the Mentally Deficient and Family Services, or a total of six positions over the actuals for 1961 is recommended for approval. It is recommended that the ite m of $54, 000 for general increases be deleted. The. Minnesota County Welfare, Merit System anticipated the increase but the Commissioner of Public Welfare has not acted and,if he does, the results of his action will not be known until approximately September 1st. Public Employees' Retirement Fund A special tax levy is made for this payment. It has been included as an ear- marked item in the gross budget. However, in order to show the total expense of operating the Departments and Institutions, the- Welfare Department's share is shown as part of this report. The 1962 share of the PERA payment is $97, 991. 00 as compared to $89, 250. 00 for 1961, or an increase of $8, 741. 00. Operating Expense The Committee recommends a decrease of $3, 500.00 in office supplies and Welfare Fund Insurance. Surplus Food Distribution The- Committee recommends that the request of $44, 220. 00 be reduced by $1600. 00. This is a new item in the budget for 1962, although the County Wel- fare Board expects to begin distribution in October, 1961. Salaries were reduced by $4, 000. 00, but rent was increased by $2400. 00, as the actual rather than the estimated cost was available to the Committee. Old Age Assistance The Committee made no change in this request. It is noted that the increase in costs are in medical care and nursing home payments. Aid to Dependent Children The Committee recommends a decrease in the estimate for maintenance of $100, 000. 00. The estimate of State and Federal reimbursements will then be reduced by $75, 000. 00 resulting in a net decrease of $25, 000. 00. The Com- mittee felt that this program should "level off" and that the estimate of increase for 1962 is too high. ?r •'f k ?E 1= t - 5 - Aid to the Blind The Committee recommends no change in this request. Aid to Disabled The Committee recommends a decrease of $10, 000 in this estimate. The estimate of State and Federal reimbursements will be reduced by $8, 000. 00, resulting in a net decrease of $2, 000. 00. 1 General Relief The Ramsey County WelfareBoard informed the Committee that before the budget of $2, 073, 676. 00 for 1962 was finally determined, a reduction of $430, 534. 00 was made as a result of ?Ajus�ments in policy and standards of relief. The Committee recommends that the request be further reduced by $67, 460. 00. This reduction is to be accomplished by a reduction of $22; 235. 00 in.Shelter, $20, 000 in Fuel,. $20, 000 in Utilities (which includes gas for heating) and $5, 225. 00 in Meals and Lodging. Child Welfare Relief The Committee recommends no change in these estimates. The budget includes $15, 348. 25 increase in Boarding Home Rates, which represents an increase of 5 cents per day per child, and 2 additional subsidized group homes requested by the Juvenile Court, the Dentention Authority and the Planning and Research Council. Cash receipts are increased by $5, 000. 00 which has the effect of decreasing the net budget to be met from local funds by $5, 000. 00. Payments to State Institutions 66i97-t- The- Committee recommends a decrease of $2, 000 in the Ti of payments to the State School and Hospital at Faribault and the Cambridge State School and Hospital for the care of Mentally, Deficient children and adults. The 1961 Legislature amended the lave to provide for payments of $120. 00 per year as compared to the present payment by County Welfare Board of $80. 00 per year. It also provided that the State make all collections from legally responsible relatives. This had been done by County Welfare Boards until July 1, 1961. Cash receipts of $18, 000 which were the estimated collections by the County Welfare Board are deleted. Disabled Veterans The Committee recommends no change-in this account. Air Conditioning of Welfare Building at 476 St. Peter Street The Committee appointed in 1960 to study the 1961 Budget request recommended that an item for air conditioning the Welfare Building be deleted from the 1961 Budget but that the matter be brought up for hearing in 1962. The Welfare Board has included $18, 000 for air conditioning the 4th floor of the Welfare Building. The Committee requested that current estimates be obtained for completing the entire building. Gausman and Moore., Consulting Engineers, estimated that it would cost $80, 000 for the entire building. The Committee does not recom- mend that the work be done a floor at a time which would mean the installation of separate units. It is recommending that $18, 000 be included in, the 1962 Budget and that it be ear - marked for air conditioning and that it not be used ,y -6- 'E yE - 'r unless sufficient savings can be made to provide for the entire building. If this �s can be accomplished, the County WelfareBoard may submit a request and recom- mendation for this work to the City Council and Board of County Commissioners for consideration and approval. If it is not possible to complete the entire F building in 1962, the appropriation of $18, 000 shall be carried over to 1963 as • +E an ear - marked fund to be used for air conditioning. ANCKER HOSPITAL E Salaries The Committee reviewed each department's salary request and recommends that r the County Welfare Board's request for 5 additional positions be approved. These are 1 Clerk - Stenographer, 1 Utility Engineer, 1 Radiologist, ] Cancer Cystolo- gist, and 1 Nurse in the Out - Patient Department. Estimates of needs for the Medical and Surgical services, including personnel on the. County Welfare Board payroll and Educational Services furnished by the•University of Minnesota. Medical School and paid by the Welfare Board were recalculated by Dr. Broadie. This ' resulted in a decrease of $8, 260. 00 in the Welfare Board paid staff and $19, 000. 00 in the amount estimated for payment to the University Medical School for a total reduction of $27, 260. 00. Other salary recalculations provided for reductions of $4, 000 in Intensive Services- Medical Department, $3, 000 in Tuberculosis Services salaries and $6, 000 in Laundry Department salaries. Public Employees Retirement Fund PERA was excluded from the individual department and institutional budgets and added as a total item to the gross budget. However, in order to show a com- parison of costs of Ancilw Hospital, it should be noted that $273, 500. 00 was included in the 19611 for this item as compared to $298, 773. 00 for 1962, for an increase of $25, 273. 00. Operating Expense Major increases in operating expenses are accounted for by new equipment, $40, 540. 00, drugs $40, 000. 00, food $14, 000. 00 and $18, 255. 00 in all other expense account increases. The Committee recommends a reduction of $4500. 00 in the Administration operating account, $3, 000. 00 in Operations of Plnat,- $2, 000 in Housekeeping, and $1,400 in Surgical Research Laboratory. An increase of $4, 000. 00 is recommended for medical and surgical supplies as it appears that this item was underestimated. The net reduction in operating expense is $6,900.00. Psychiatric Services A special request was included in the 1962 Budget for Psychiatric In- Service and Out - Patient services. The estimates submitted by the Welfare Board were the resit of studies by the Ancker•Hospital staff and interested community mental health agencies and organizations. In order to provide basic In- Patient and Out - Patient services, 15 staff positions were requested. A special meeting was held to which members of the City and County governing bodies were invited. Members of the Ancker Hospital medical staff, County Welfare Board and Com- munity organizations presented testimony as to the need for the proposed psychiatric services. The possiblg loss of University Medical school affiliation - 7 - in medical services and the loss of the presentsupervisory and teaching services of the voluntary psychiatric staff as well as the lack of adequate services to serve the people in the community suffering from potential and actual mental illness was emphasized. The availability of matching State Mental Health funds for Out - Patient Psychiatric Services and the establishment of a Community Mental Health Board to request and administer these funds was explained. It was the consensus of the Fact Finding Committee that an appropriation be included in the 1962 budget for the establishment of Psychiatric Services at the Ancker Hospital, The Welfare Board included in the budget request, 15 staff positions at a cost of $136, 728. 00 and $4800. 00 for equipment for a total of $141, 528. 00 . $70, 000 was estimated from State Mental Health fund contributions leaving $71, 528. 00 as the net amount to be met from local tax funds. The' Committee after duly considering the testimony of psychiatrists and • others that it was unlikely that the total staff of 15 could be recruited in 1962 and that State Mental Health funds had been committed for the period of July 1961 to July, 1962, recommends that $100, 000 be included in the 1962 budget for- Psychiatric Services at the Ancker Hospital and that $50, 000 be estimated as a contribution from State- Mental Health funds, leaving $50, 000 to be expended from local tax funds. It is further recommended that these funds be ear - marked for this service. If additional staff can be recruited and the cost will exceed the amount set up in the budget from local tax funds, the Committee recommends that the, County Welfare Board submit this information to the Cityand County governing bodies and the Community Mental Health Board for study anq consideration of additional funds to be provided for this service. Estimated Receipts The Committee recommends that the estimate of $2, 000, 000. 00 to be collected for patient care be increased by $50, 000. 00 and that Receipts from the State of Minnesota for care of Tuberculosis patients be reduced by $10, 000. 00. The recommendation for reduction of the estimate for the new Out - Patient Psychiatric service from $70, 000 to $50, 000 is included in the report on Psychiatric- Services. The revised estimate for Ancker Hospital receipts is $2, 160, 000. RAMSEY COUNTY HOME Salaries The Committee recommends a reduction of $6, 313. 00 in nursing service salaries. No other adjustments are commended. Public Employees' . Retirement Funds The inclusion of PERA payments has been explained in both the Ancker Hospital and the Welfare Department recommendations. However, in order to show the total cost of the Ramsey CountyHome, it should be noted that $27, 200. 00 is included in the 1961 appropriation as compared to $30, 016. 00 estimated for 1962 for an increase of $2, 816. 00. Operating Expense The Committee recommends that the request for durgs in the Medical and Surgical Services Department be reduced by $1300. 00. No other changes are recommended. Estimated Receipts The, Committee recommends that estimated receipts be increased by $25, 000. 00 for a total to be collected for patient care, $450, 000. 00. I t 0 b co td sa CA ED r 0 z ti b b t� p) W 1-+ b H I W t=J O Lg CA ►d H O A H H O O td .F hd cl 01. 4 tl ro H H . H 9 IA H �--� O H k►y O ,j C H O p pq PD. r 0 cl !zi O Ho ED R H H LLJ H H 9 F r y bd ' 0 0 0 0 0 co O H .F H . O ,j C c 0 0 0 0 N l--r fn ON N C r t r 4 z N i N\\M M The Honorable George Vavoulis President of the City Council and Chairman of the Board of County Commissioners Members of the City Council and- the Board of County Commissioners Mr. Joseph J. Mitchell, City Comptroller Mr. Eugene A. Monick, County Auditor Court House Saint Paul 2, Minnesota Dear Sir: In conformance with the requirements of Chapter 343, Minnesota Session Laws of 1937 as amended, the County Welfare Board of the City of Saint Paul and the County of Ramsey respectfully submits its estimated budget for the calendar year of 1961. This budget was approved by the Ramsey County Welfare Board at its special meeting held on June 24, 1960. The Board instructed -me to submit these budget estimates to you on or before July 1, 1960. 'f The gross budget is submitted with the addition of estimates for cost -of- living increases for the employees 'of the Board, which have not as yet been made official. ` Salary recommendations submitted to the Board of County Commissioners by the County Civil Service Commission estimates the cost to the County Welfare Board for Ancker Hospital and the Ramsey County Home employees at $489, 500. 00. The County Welfare Merit System has made an annual survey of salaries, and although there has been no public hearing as yet to establish a cost -of- living increase, we are informed that a oner step increase will be granted employees under the County Welfare Merit System. The cost will be $63, 150. 00. I The new items included in the budget which should be called to the special attention of the Fact Finding Committee for individual consideration are: for the Welfare Building at 476 St. Peter Street - $18, 000. 00 for the first step in a .program for air conditioning the Welfare Building, $7, 500. 00 for painting the interior of the building in order to keep it from deteriorating, ,$5, 000. 00 to provide for the cost of installing cost accounting system at Ancker Hospital, and $500. 00 for microfilming checks which the County Welfare Board is required by law to retain indefinitely. The new item included at the Ramsey County Home budget is $20, 000. 00 for a Special Building Program to carry out recommendations of the State Health Department. The new item included in the Ancker Hospital budget is a request for $52, 000. 00 which represents a special building fund for extension of Laboratory facilities. The total of new items is $65$; �50. 00. Additions to the operating budget includes some additional staff positions at the hospital, a replacement of the ambulance, some increases in line items due to increased costs, and some items of new equipment for the X -Ray Department and other departments 6f the hospital. The County Welfare Board requested that I call your attention to the estimate of General Relief needs for 1961. The General Relief case load has not dropped as rapidly as we had forecast when the 1960 budget was established. The Fact Finding Committee and the County Welfare Board by agree n �i-ent recommended a reduction to 1 4 R .t 1 = -2- $1, 400, 000. 00 for 1960. It was agreed that unless economic (conditions improved greatly that this probably would not be sufficient to meet the relief needs, but since there were certain balances carried over from year to year, if the general relief exceeded the appropriation it would be possible to meet these costs out of balances rather than request additional new money for 1960. Although it is difficult to predict the economic situation in Ramsey County for the remainder of 1960 and 1961, conditions have not improved as rapidly as was expected, and the County Welfare Board will probably require an additional $400, 000. 00 for General Relief in 1960. At the present time there is $641, 405. 00 in the contingent account, which represents balances carried over from 1959. Cash receipts in 1960 for Ancker Hospital will probably exceed the estimate by $300, 000. 00. r The County Welfare Board, therefore, gave consideration to a recommenda- tion that a part of the estimated balances be used for reducing the City and County share of the 1961 budget. keeping in mind that a portion of these balances should be set aside for meeting deficits in the Relief appropriation in 1960. The Board did not take action to allocate any of these balances but asked that the Fact Finding Committee consider these in making its decisions. The total budget for 1961, including all special items and cost- of-living adjustments, is $17, 247, 253. 00. The City and County's share is $9, 822, 483. 00. This is $779, 631. 00 more than 1960. Of this increase, $65$', (-0. 00 represents cost -of- living increases and special requests and $J.qO, 000. 00 in increases in the General Relief estimates. Members of the County Welfare Board, the Secretary, and other staff : members designated by the Board are prepared to meet with you, the Fact Finding Committee and Members of the City Council and Board of County Commissioners at any time you wish to begin consideration of this budget. Respectfully submitted, (Miss) Ruth L. Bowman Director r. h .4 F C k F r r - 1 .6 e al .r MW MEMORANDUM To: Members of the Ramsey County Welfare Board From: Miss Ruth L. Bowman Director, County Welfare Department Date: June 24, 1960 Re: 1961 Budget Request = = = = = M COPY As a result of the Board's discussion at its meeting on June 21, 1960, I am submitting the following summary for the Board's consideration: Salaries for Departments of Administration, Administrative and Social Services The number of approved positions for 1961 is established at 238 1/2, or two less than the number authorized for 1960. This proposal provides for the elimination of four positions as a result of the Systems and Procedures Study and Installation being con- ducted by Peat, Marwick, Mitchell and Company, Consultants. It provides for the addition of a position of Systems and Procedures Supervisor created by the County Welfare Board in 1960, and one additional Case Worker for the placement and supervision of delinquent girls placed in the custody of the County Welfare Board by the Juvenile Court. The net change, therefore, will be two positions, bringing the number of positions from 240 1/2 to 238 1/2. A special project established with matching Federal Child Welfare funds will be discontinued in 1961 because the commitment made by the State has not been kept, and we understand these funds will not be available for 1961. The comparison of 1960 and 1961 salaries are as follows: 1960: Number of positions - 240 1/2 City and County share $1,294,897.00 Estimated Cash Receipts $ 110, 000. 00 Total salary budget 1, 404, 897. 00 1961: Number of positions - 238 1 /2 City and County share $1,309,252.00 Cost -of- Living increase $ 63, 150. 00 Total City and County share T_,372, 402. 00 Estimated Cash Receipts $ 125, 000.00 Total Salary budget $1, 497, 402. 00 The City and County share of salaries is $77, 505. 00 more than 1960 appropriation. How- : ever, $63, 150. 00 of this represents cost -of- living increase, which we believe will be authorized by the State agency. € Administration Expense and Expense of Operation and Maintenance of Building In 1960 and for prior years the cost of County Civil Service, which is paid by the County Welfare Board to the County Civil Service Commission, has been included in ` the budget of the Central Administration Department. Since this is a cost chargeable to the ` Ancker Hospital and the County HHome bec -cruse all emplovees in the Administration, Adminis- trative and Social Services Departments are under the County Welfare Merit System, we have charged in the 1961 budget the Civil Service costs to the two institutions. The Ancker Hospital 5 and the County Home share of Workmen's Compensation and Welfare Fund Insurance is r�,� ■r rr r r r �r r r r �r r r r ■r � charged to these Institutions in the 1961 budget, It will be the first year that there has been a proper distribution of the costs of these services. The appropriation for Administration expense, operating and maintenance of buildings for 1960 was $400, 078, 00. The appropriation for 1961, including special re- quests of $500. 00 for microfilming checks,which we are required by law to keep; $18, 000. 00 for the first stage in a plan to air condition the building, $7, 500, 00 for painting ttie interior of the building in order to keep it from deteriorating, and $5, 000. 00 to provide for a cost accounting system at Ancker. Hospital, makes a total Other Expense item of $304, 000. 00, or $96, 078, 00 less than the 1960 appropriation. There are no cash receipts included in this computation. The increase in the City and County share of salaries of $77, 505. 00 is offset by the decrease in the Other Expense account of $96, 078. 00 so that there will be a net re- duction in this department of $18, 573. 00 in City and County money. (The County Welfare Board approved these estimates as submitted. ) Public Assistance Grants General Relief The appropriation for General Relief for 1960 was $1, 400, 000, 00, of which $1, 215, 230. 00 was City and County funds, $134, 770. 00 State reimbursement, and $60, 000. 00 cash receipts. The General Relief caseload has not dropped as rapidly as we forecast for 1960 because of adverse economic conditions so that we probably will have to spend an additional $400, 000, 00 for relief in 1960, unless economic conditions improve substantially and the unskilled and older workers who make up a large part of the caseload of employable persons, can find employment. We have estimated $1, 700, 000. 00 for 1961 for Relief grants. However, if conditions improve as they did in 1957, for example, the costs may drop substantially. Forecasts do not indicate a business recovery as substantial as this but the Board may wish to consider some reduction in this estimate with the knowledge that more money may be needed if we have another bad year. A reduction to $1, 600, 000. 00 might be considered. If this reduction is made, the City and County share for General Relief for 1961 would be $1,405, 230, 00. State reimbursement will be $134, 770. 00, and Cash Receipts estimated at $60, 000. 00, bringing the total to $1, 600, 000. 00 for 1961. This is an increase of $190, 000. 00 over the City and County share of the General Relief budget for 1960. (The County Welfare Board increased the Relief grant estimate to $1, 700, 000. 00 for consideration by the City and County governing bodies. ) Aid to the Disabled r There is very little change in this program. The City and County's share estimated for 1961 is $25, 530. 00, or $30, 00 more than 1960. State and Federal reimburse- ments are estimated at $105, 000. 00, making a gross budget of $130, 530. 00. Aid to the Blind The City and County's share for this program is $46, 920. 00, State and Federal reimbursements $110, 000. 00, or a total gross budget of $156, 920. 00. This figure is $6, 080. 00 less than the City and County's share appropriated for 1960. 'F F r r �p F -f 6 P - 3 - Old Age Assistance The City and County's share for 1961 is estimated at $899, 900. 00, State and Federal contributions $2, 700, 000. 00, and cash receipts $85, 000. 00, making a gross budget of $3, 684, 900. 00. This is a reduction under 1960 of $64, 700..00 of City and County money. Aid to Dependent Children The 1961 City and County's share is $533, 363. 00, State and Federal reimbursements $1, 600, 000. 00, cash receipts $20, 000. 00, making a gross budget of $2, 173, 363. 00. The City and County's share is $26, 237. 00 less than 1960. Child Welfare Child Welfare costs are estimated for 1961 at $728, 530. 00. This includes $15, 500. 00 for two additional group homes, one for delinquent girls and one for delin- quent boys. I have also added $2, 000. 00 to the estimate for the Home of the Good Shepherd, since we have just received a request for an increase in rates to $131. 00 per month per child. This figure also includes $6, 000. 00, which is the estimated increase in boarding home rates for 1961. This item has already been approved by the Board. Cash receipts for 1961 are estimated at l�l;��, 000. 00. The gross budget for the Child Welfare Department is, therefore, $728, 530. 00. The City and County's share is $618, 530. 00, $126, 030. 00 more than in 1960. Payment to State Institutions The City and County's share in 1960 was estimated at $85, 000. 00 with an estimated $10, 000. 00 in cash receipts. The 1961 budget estimate is $90, 000. 00 for City and County's share and $15, 000. 00 cash receipts,. making a gross budget of $105, 000. 00, or $5, 000. 00 more in City and County money than in 1960. These repre- sent payments to the University of Minnesota Hospital, which has reviewed its rates this yeah and to the Institution for Mentally Deficient Children and Adults. ' SUMMARY I am listing all of the increases and the decreases for 1961 so that the Board can see the net increase in cost for 1961. Tne-- rzncac- Salarie s Relief Aid to the Disabled Child Welfare Extended Relief Total Increase Decreases Under 1960 City and County Share: Other Administrative Expense Old Age Assistance Aid to Dependent Children Aid to the Blind Total Decrease $ 77, 505. 00 290, 000. 00 30.00 126, 030. 00 5,000.00 $498,565.00 $ 96, 078. 00 64, 700. 00 26, 237. 00 6,080.00 193, 095. 00 -4- This amount subtracted from $498, 565. 00 leaves a net increase in the City and County's share of funds of $305, 470. 00. 'Use of Balances At the present time there is $641, 405. 00 in the Contingent Account, and it is estimated that Ancker Hospital Cash Receipts will exceed the amount estimated for 1960 by approximately $300, 000. 00. At this time we do not know whether the Ancker Hospital will exceed its budget appropriation so that it will have to obtain permission for the use of excess cash receipts to make up deficits, but if it does not, then I think we can estimate total balances available at $941, 405. 00 for 1960. If we estimate that we will need approximately $400, 000. 00 for transfer into the Direct Relief accounts to make up the deficit there, this will leave a balance of $541, 000. 00 in the Contingent Account. It is recommended that the Board include $300, 000. 00 of the balances in order to reduce the City and County's share of the 1961 budget request for these depart- ments so that it will not exceed the 1960 appropriation. (The Board instructed the Secretary to include the suggestion of the use of cash receipts to the Fact Finding Committee so that this Committee could make a judgment as to whether balances should be used this year and in what amount. ) E t a S = M ' = M MEMORANDUM TO: Members of the Ramsey County Welfare Board FROM: T. E. Broadie, M. D. Superintendent, Ancker Hospital DATE: June 16, 1960 RE: 1961$udge;t;* Herewith are presented estimates of expenditures for the Ancker Hospital and for the year January to December, 1961. Total estimates are in the amount of $5, 569, 690. 00. These exceed estimates made for 1960 in the amount of $280, 818. 00. Attention is directed to the following components of the chart of accounts: Administration Salaries - As explained in the budget year of 1960, a Department of Admis- sions was formulated in late 1959. At that juncture, eleven (11) individuals were to be transferred from the departments of Social Service and Medical Records to the Division of Administration. Such has gradually been accomplished. Due to failure in communi- cation, it was not fully implemented until the latter part of May. As finally set, thirteen (13) full time and four (4) part time employees have been required to develop the Admis- sions Department. By virtue of the foregoing, the salary item of this account has been substantially increased. Titles involved are as follows: Junior Clerks - 4; Clerks 4; Senior Clerks - 4; Junior Clerk- Typist - 1; Clerk- Typists - 4. Other Expenses - Three items which have not been allocated before to the hospital are now charged to the Division of Administration. These are: Civil Service - $36, 000. 00; Health and Welfare - $60, 200. 00; Workmen's Compensation - $12, 000. 00; total - $108, 200. 00. The foregoing produces a maximum increase in this account. Purchase, Storage and Issuance M -r� Salaries - Provision has been made to provide the services of a clerk- steno- grapher in this department at $3, 348. 00 per year. This department has long needed such an arrangement. w Other Expenses - Provision of a desk and chair and typewriter for the foregoing addition at a total of $380. 00 has been made in Office Equipment, New. It is planned to install ready made metal partititions in the Receiving Sec- '' tion of the buyer's department. $100. 00 has been planned for this expenditure and incorporated in Other Equipment, New. Heat, Light and Power Other Expense - The following items are planned for 1961: F rr rr �i ■r r r rr it r r r �r rr rr rr rr rr rr F � � r k 2 a. Install water circulator in the Laundry; account class - Repair and Replacement, Other Equipment, amount - $1, 500. 00. b. New air compressor; account class - Repair and Replacement, Other Equipment; amount - $1, 250. 00. Garage Other Expenses - Replacement of a 1957 Cadillac ambulance is contemplated. The vehicle which is to be replaced has a total of 60, 000 miles on the speedometer. These cars cost new around $10, 000 or somewhat in excess of that. With trade -in, it is thought that $6, 500. 00 will be adequate for financing this transaction. Medical and Surgical Salaries - The Board recently approved an additional position in the Depart- ment of Surgery for purposes of supervision in the receiving suite. The cost of this is $3, 800. 00 per year. Funds for this purpose have been included in the salary item. Increases of $1, 000. 00 per year for Dr. Robert Rossing and $500. 00 per year for Dr. Dennis Kane are recommended. These increases are now included in the budget estimates. Other Expenses - It is planned to purchase a new operating table for the Division of Otolaryngology. It is also planned to purchase cupboards for the work rooms in the operating suite. The sum of $4, 600. 00 has been included in Other Equipment, New, and Replacement and Repair, for this purpose. At this point, your attention is directed specifically to the item titled, "Services, Medical and Others". This account must be calculated anew each year. On July 1, 1960, the University of Minnesota will increase fellowship stipends from. $2, 820. 00 to $3, 364. 00 per year. We are planning a crew of twenty -five and a half (25 1/2) resident physicians for 1961. This includes one additional resident each in Otolaryngology end Surgery. This account also includes provisions to recruit a full time director of Pediatrics at $15, 000. 00 per year. In a letter of recent date, Doctor Owen Wangensteen asked for an increase in the salary of Doctor Lloyd MacLean. $1, 000. 00 per year is recommended. Medical Records and Library Salaries - Last year, $15, 000. 00 was appropriated for microfilming old records. It was originally intended to contract for the job. Plans were altered, tr equipment was purchased, and now microfilming is being done by employees in the department. It is proposed to continue in that manner. One individual in Grade 17 at $379. 00 per month is required for this purpose. We are currently short one medical records librarian. Provision has been made to place this part of the department at full strength when possible. The superintendent is in receipt of a strongly worded communication from the Department of Medicine. It is therein recommended that a new medical library be assembled and housed. There is a place where such can be implemented in living quarters formerly occupied by the assistant superintendent. The principal item of cost would be the salary of a hospital librarian. Funds in the amount of $4, 100. 00 have been incorporated for this purpose. Other Expenses - Funds in the amount of $5, 000. 00 have been incorporated in this item, sub - classification "Miscellaneous ", for purchase of microfilming supplies'. In addition, provision for the purchase of books for the interns' library,- $400. 00; two new typewriters and stands - $400. 00 - are planned. = = = M = M mm Anesthesiology Salaries - Doctor Frederic Van Bergen, Professor and Head, Division of Anesthesiology at the University of Minnesota, recommended in a recent com- munication that salaries for resident anesthesiologists be disbursed by the Comp- troller at the University. Heretofore these persons have been paid directly by the hospital. Pay for four (4) fellows has been transferred from "Salaries" to "Other Expenses" in the classification of "Miscellaneous ". X -Ray Salaries - A hospital committee has been in negotiation with the Chief of Radiology and his associates. They urge the addition of another physician to their department. They have agreed to accept a salary of $15, 000. 00 per year for this purpose. That amount has been incorporated in this report. In addition, in a memorandum they recommend an increase to staff in 1961. Two additional positions are recommended, although three were requested. One (1) X -Ray Technician - P $3, 648. 00 per year; and one (1) Clerk- Typist - $3, 792. 00 per year. Funds to implement these recommendations have been incorporated. Other Expenses Doctor Aurelius and his staff recommend the following equipment: New - $16, 500. 00; Replacement and Repair - $11, 500. 00; total - $28, 000. 00. (See Doctor Aurelius' communication). Laboratories Salaries - The hospital committee has been in negotiation with Doctor Noble, Director of Laboratories. The latter has been urged by the Division of Irternal Medicine particularly to enlarge his scope of operation. (See Doctor Noble's letter). The fiscal basis for the following recommendations have been incorporated: One (1) physician trained in Pathology - $15, 000. 00; One (1) Bacteriologist - $8, 000. 00; One (1) Chemist - $9, 000. 00; One (1) Medical Technoligist - $4, 800. 00; total - $36,800.00. F Other Expenses - (See Doctor Noble's letter). These recommendations ` are as follows in summary: Star Microscope - $967. 00; Mercury Illuminator - r r $476. 00; Reagents - $55. 00; Filter Apparatus - $136. 00; Rotator - $150. 00; Centri- fuges - $850. 00; Water Bath - $75. 00; Colorimeter - $450. 00; Oven - $50. 00; Refrigerator - $300. 00; Balance - $450. 00; total - $3, 959. 00. Inseparable from consideration of the laboratory problem is the question of space. To accomplish the purposes as designed unquestionably requires additional space. It is proposed to remodel the space above the hospital garage. An archi- tect's estimate is attached hereto. Funds for this item have not been incorporated in the accompanying estimates. Dietary Other Expenses - Plans for this department are projected herewith: Office Equipment, Replacement and Repair - Two (2) office desks and a typewriter desk - $475. 00; Other Equipment, New - Two (2) food carts - $5, 050. 00; Other Equipment, Replacement - One (1) food cart - $1, 500. 00; total - $7, 025. 00. Social Services Salaries - It is planned to increase the staff in this division by hiring a Chief Medical Social Worker at a cost of $5, 500. 00 per year. Other Expenses - One (1) new desk and chair and file will be required r for the foregoing plan at a cost of $300. 00. .F rr rr r it rr rr rr rr rr r r r rr rr rr r rr r Y. ,r G -4- Out Patient Department Salaries - The Director of Medical Clinics, mentioned in another divis- ion and supported by the Chief of Medicine, suggests that a clerk - typist be hired to relieve the nursing staff of clerical duties in this division. Cost is $3, 200. 00 per year. Other Expenses - Instruments for the Department of Ophthalmology are recommended at a total costof $1, 700. 00. Copies of communications originating with the departments involved are attached herewith. TEB /jc /aj Attachs r rr � r rr rr rr r� r �r rr r r �r r rr r r COPY MEMORANDUM To: Dr. Thomas E. Broadie From: Drs. Aurelius, Peterson & Calin Subject: 1961 Budget for the X -Ray Department at Ancker Hospital It is recommended that the following be considered for the 1961 budget for the X -ray department at Ancker Hospital: 1. $16, 500 to be used for new equipment. The lack of space in the X -Ray Department still remains an important problem in our daily operation. As the demands for more special procedures increase, space deficiency must be taken care of by increasing the work day and supplying more technical help during a twenty four hour period to finish the days work. No major equipment change in the four radiographic room is suggested. The following is recommended: A. $1500. 00 - supplying phototiming to the fluoroscopic screen and adding a columnator to one of the tubes in our special procedure room. B. $8000. 00 - mobile image intensifier to be used in surgery. Such a unit can be used with little danger in reducing fractures, hip nailing, foreign body localization, neurosurgery, etc. C. $4, 000. 00 - for motor driven alternator viewing box to be used in the staff viewing room. Such a device is used for viewing frames of % -rays in front of a large film illuminatot. With such a device, the problems of viewing multiple films (sixty or more in some cases) can be solved. J D.. $3, 000. 00 - for a Vu -Graph Projector. This machine is to be used to project x -rays on a screen in the auditorium. In this way, smaller detail of x -ray films can be shown to all viewers. 2. $11, 500 for replacement of x -ray equipment. This is to include: A. $6, 000. 00 for replacement of the control and transformer in the Imperial Room. The present equipment has been requiring almost constant repair and its replacement with a 300 MA transformer and control is advised. B. $5, 000. 00 - for a new mobile unit to replace the one which has been used on contagion. The present unit is an old one and requires almost constant repair and maintenance. C. $500. 00 - for the replacement and addition of film viewing boxes in the department. Some of the present boxes need complete replace- ment; others should be added to in order for the radiologist to be able to completely study many of the examinations we are now doing. 3. Office Equipment No appreciable change in the expenditures for office equipment i,s­ requested. It is recommended that the following be made available: A. $200. 00 - for the making of glass slides for teaching purposes. B. $200. 00 - for the purchase of additional new books for the x -ray library. I 6, 4. X -Ray Therapy The addition of x -ray therapy to the radiology department is again strongly recommended. No budget request is made at this time because of the lack of space to place x -ray therapy equipment. No additional equipment in the radio - isotope department is requested. 5. X -Ray Film & Solutions No further change in expenditures is expected except for a possible increase in film cost. This might be expected because of the increasing use of movie film. It is not expected that this amount should exceed $500. 00. Any increase over that amount is not anticipated unless the volume of work done increases beyond that ordinarily expected. 6. Personnel The present compliment of x -ray technicians consists of eleven regular technicians. The income of one regular technician for a period of eleven months is available for vacation relief. Such relief has been difficult to get in recent years. Too, no new technicians have been added to the department although additional radiological coverages have been added. The isotope lab now does about one hundred fifty procedures per year. Special procedures are requiring more time and work. Anglocardiography, which is now done about twice a week, requires two to three hours to complete. This procedure could be done twice a day. Other new radiographic procedures such as cerebral and carotid arteriography, veinography, etc. are also time consuming. We should like to abolish our vacation relief and add a new technician. This could be done with the additional expenditure of a months' salary for a single technician. We would like to add two aides to the departmental staff to help the technician staff in their jobs. Some of their duties would be: a. Assist patients in dressing and undressing. b. Care for special procedure trays and exchange needles, etc. with central supply. c. Give cleansing enemas to outpatients if needed. F d. Watch patients who require attention and to care for children and older patients who require attention. e. In general, do many things that the present x -ray technician is now doing in cleaning up x -ray rooms and dressing rooms and to help in the x -ray examination of the patient. In addition, it is recommended that a second senior clerk typist be added to the department. She should be able to help the present typist in doing the routine typing, replace the present typpi�st during vacations and sick leave, and help give typing coverage on S' turdays. Many jobs now being done by the Senior and Senior Assistant Technician could be performed by such an individual. Other jobs such as the editing and G filing of movie films, preparation for x -ray conferences and assisting the radiologists in the carrying out of their daily jobs could be done by such a typist. Finally, it is recommended that a second Senior Assistant Technician position be made for the x -ray department. C-� C- COPY MEMORANDUM To: Thomas Broadie, M. D. From: John F. Noble, M. D. Date: June 1, 1960 Re: 1961 Laboratory Budget Because of the increased demandson the laboratory service, both in volume and scope, I feel that the following items are necessary to satisfy the modern needs of the clinical services. These items are in addition to the budget as set up for 1960. BACTERIOLOGY: 1. Salary for Mr. J. M. Williams, Bacteriologist, Grade 28 at $654. 00 per month. 2• Equipment to modernize the Bacteriology Laboratory and methods: (a). 56280 American Optical Phase Star Microscope for Fluorescence, Bright Field and Phase microscopy complete with accessories $967. 65. (b). Mercury Arc Illuminator with accessories - $476. 60. (c). Reagents for Fluorescent Study - $55. 50. 3. Additional Bacteriology Equipment: (a) Membrane filter apparatus with accessories - $136. 00. (b). Fisher Rotator - $150. 00. CHEMISTRY: 1. Salary for Chemist suggested figure by Mr. Mead of the Civil Service for a Masters Degree, or-equivalent in Clinical Chemistry, $9, 000. 00 per annum. 2. Equipment: (a). Two (2) centrifuges - $850. 00 (b). One (1) Prothrombin Water Bath - $75. 00. (c). One (1) Evelyn Colorimeter - $450. 00 (d). One (1) Drying oven - $50. 00. (e). One (1) Refrigerator - $300. 00. (f). One (1) Chain Chemical Balance - $450. 00. 3. Physical Expansion for Chemistry Laboratory as per the estimate by Cavin and Paige, Architects. 4. An additional Registered Medical Technologist - salary at $392. 00 per month. 'F COPY r MEMORANDUM .r To: Thomas Broadie, M. D. 'From: John F. Noble, M. D. t Date: June 28, 1960 Re: Laboratory Expansion E In response to your request for my opinion on the necessity for the proposed expansion of laboratory space to the second story of the garage building, let me say, that in the past ten years the volume of laboratory procedures carried out in the laboratory has practically doubled. In 1950, the total number of procedures was 150, 788, and in 1959, the number had increased to 296, 871. During this period no space has been available for expansion. The most pressing need is in the Chemistry Laboratory. The technical personnel in this department has been increased by only one technologist in the past ten years. More help could not be accomodated because of lack of space. The total floor space in use at the present time is 305 square feet. In this cramped area 40, 622 clinical chemical examinations were performed by a staff of 3 technologists in 1959. During the past ten years the number and scope of clinical chemical examinations required for diagnosis and teaching has increased enormously and because of the situation outlined above, we have been unable to furnish adequate service for diagnostic and teaching purposes. I, therefore, recommend the expansion of laboratory space as outlined by architects Cavin and Page. This opinion is concurred in by Doctors MacLean and Rossing, the University Teaching Representatives in Surgery and Medicine. /s/ John F. Noble John F. Noble, M. D. Pathologist E COPY _ -- CAVIN AND PAGE,- ARCHITECTS 360 ROBERT STREET, ST. PAUL 1, CA. 2 -5350 May 25, 1960 Dr. T. E. Broadie Ancker Hospital 495 Jeff erson Avenue Saint Paul, Minnesota F t Re: Ancker Hospital Laboratory Dear Dr. Broadie: Dr. Noble called yesterday to let us know that the preliminary sketch we submitted was essentially what was needed in plan for the laboratory remodeling. He asked that we submit an estimate for the work to you as soon as possible. Our estimate anticipates everything shown on the drawing, plus the necessary lighting and revision' of the heating and plumbing system, so that the equipment and casework may be installed and work. The only questionable item would be the very necessary bridge connection to the ` existing laboratory. If this needs to be fireproof and enclosed, it might be more expensive, but further studies will be necessary before this can be determined. I believe this will be a fine addition to your laboratory and we anticipate that all of this casework and equipment can be moved into the new hospital and reused there when it is ready. If there is anything further we can help you with, please don't hesitate to phone. Sincerely yours, Is/ Clayton M. Page CMP:egb Clayton M. Page. Enc . 4 ANCKER HOSPITAL LABORATORY REMODELING BUDGET ESTIMATE 1330 Sq. ft. @ $20 per sq. ft. $26,600 1080 Sq. ft. @ $ 5 per sq. ft. 5,400 Casework 91500 Bridge 2,000 Total $43,500 -E Contingency @ 516 (attorneys fees, permits, completion bonds, etc.) 2,175 $45,675 Architects fee at 87o 3,654 F Total cost $49,329 Cavin and Page, Architects / s / Clayton M. Page r k f k I COPY JOHN A. McNEILL, M. D. 1052 Lowry Medical Arts Building 4th St. Entrance St. Paul l - Minnesota Practice Limited to Ophthalmology and Ophthalmic Surgery April 26, 1960 Dr. Thomas Broadie Medical Director, Ancker Hospital 495 Jefferson St. Paul, Minnesota Dear Dr. Broadie: The Ophthalmology Section of Ancker Hospital respectfully requests that the instruments listed below be obtained for our department. The Schlotz Tonometers are necessary as only one is available at present and it frequently needs to be away for repair and checking. Also, having more than one instrument greatly increases their life. The Projector and trial lens cabinet would greatly facilitate the handling of refractions in our present room and would make possible the separation of the refracting lanes and thereby eliminate much E confusion. The Mueller Recording Tonometer would make available to our patients a new technique - Tonography - which greatly facilitates the diagnosis and treat- ment of glaucoma. Yours sincerely, /s/ John A. McNeill John A. McNeill, M. D. Chief - Section of Ophthalmology JAM /hjs Ancker Hospital Medical Staff -E REQUESTED - NEW INSTRUMENTS - OPHTHALMOLOGY DEPARTMENT April 26, 1960 Jenkel- Davidson trial lens cabinet with built -in control panel and holders for diagnostic instruments $250.00 In either Mahogany, Walnut or Blond Bausch and Lomb, Projector complete with variable iris stand with casters and cover, #71- 34 -40 -30 $280.00 These may be obtained through: A. F. Williams and Company 366 St. Peter Street, St. Paul, Minnesota -- - - - - - - - - - - - - - - - - - - - - - - - - -•- - - - - - - - - - - - - - - - Recording Tonometer complete with voltage control, calibra- tion gauge, chart, etc. # O. P. 9090 $1000.00 E New stand built especially for tonometer with c.9nductive casters and lock $ 49.50 Schlotz Tonometers (2) # O. P. 9000 $ 60. 00 each These may be obtained through: V. Mueller and Company 1951 University Avenue St. Paul, Minnesota ADMINISTRATION COUNTY WELFARE DEPT ESTIMATED SALARIES FOR 1961 61 SALARY INGRADE 61 TOTAL COST OF LIVING TOTAL ADMIN SERV'QIRECTOR 1 109980000 10 +980.00 480.00 119460.00 WELF DIRECTOR 1V 1 139500.00 139500.00 139500000 CASE WORKER 1 1 69720.00 225o00 6 +945900 300000 79245000 SUPERVISOR;OF COLL 1 99180000 9 +180.00 420000 99600.00 ACCOUNTANT "1 4 28968OoO0 28 +680.00 1 +380.00 309060.00 AUDITOR 1 109980000 16.980.00 480000 119460000 ACCOUNTANT, 11 2 17.160.00 179160000 780000 179940.00 CLERK SPECIALIST 1 6 +720.00 69720000 300000 7 +020000 SYSTEMS 'PROCEDURES 1 79680.00 180000 79860000 360000 89220.00 CLERK 11 1 4.140000 180000 4 +320.00 180000 4 +500.00 CLERK 1111 1 49920000 360000 59 80000 240000 59520000 CLERK TYPIST 1 4 140652000 225000 14.877.00 648000 159525.00 CLERK TYPIST 11 3 14.100.00 14 +100.00 660000 140760.00 CLERK STENO 11 1 49500.00 60.00 4 +566.00 180.00 49740000 CLERK STENO 111 2 189000000 129000.00 540000 129540000 CLERK TYPIST 111 1 59880.00 5.880000 240.00 69120000 KEY PUNCH'OPR 3 129600.00 129600.00 540.00• 139140.00 TAB MACH OPR 1 1 5.160.00 5 +160.00 240000 59400.00 TAB MACH :OPR 11 1 49680.00 200000 49880.00 240000 59120.00 TAB MACH 'SUPVR 1 59640000 240.00 59880000 240000 60120000 32* 1999872.00* 19670000* 2019542oOO* 80448.00* 2099990000* r` PROFESSIONAL STAFF 61 SALARY INGRADE 61 TOTAL COST OF LIVING TOTAL SOCIAL WELF SUPVR 111 2 189420.00 280.00 189700900 840000 199540000 CASE WORKER 1 76 4489080.00 129225000 4609305000 209070000 4809375000 CASE WORKER 11 17 114.000000 875.00 1149875o00 59040000 119o915000 CASE WORKER 111 18 1249200.00 440.00 1249640000 59760.00 1309400000 SOCIAL WELF SUPVR 1 20 1599840.00 930.00 160 +770000 74080000 1679850.00 SOCIAL WELF SUPVR 11 3. 269760.00 269760000 19200000 P-79960000 NURSINGICARE ADVISOR _ 69720000 69720.00 300000 79020000 CLERK 1 I 3 +960.00 39960.00 180000 49140.00 CLERK 11 1 49320000 49320.00 180000 49500.00 CLERK TYPIST 1 3 109224.00 372.00 109596.00 468000 119064.00 CLERK STENO it 3. 149820000 14 +820000 660000 159480000 CASE AIDE 11 1. 69120000 69120000 300000 60420.00 146* 9379464.00* 159122.009E 9529586.00* 429078000* 9949664000* ADMINISTRATIVE 61 SALARY INGRADE 61 TOTAL COST OF LIVING TOTAL PERSONNEL OFFICER 1 79320.00 240.00 79560000 360000 7992Oo00 NUTRITION CONSULTANT 1 89400.00 89400.00 360000 89760.00 PSYCHOLOGIST A 60120.00 120.00 69240000 240.00 69480.00 CLERK SPECIALIST 2 139440000 300.00 139740.00 600000 149340.00 OFFICE•MGR 1 89760.00 80760.00 420.00 99180000 CLERK 1 2 69768.00 120600 69888.00 324o00 79212000 CLERK 11 4 18 +960.00 200000 199160.00 960.00 209120000 CLERK TYPIST 1 23 839844000 29112000 859956.00 3o780.00 899736000 CLERK TYPIST 11 10 479340.00 •135.00 479475000 29220000 499695o00 CLERK STENO 1 2 99000000 99000000 360.00 99360000 CLERK STENO it. 2 99420.00 99420.00 420.00 99840.00 CLERK TYPIST 111 2 119280.00 119280.00 480000 11o760000 SWITCHBOARD OPR 1 2 89280000 75.00 89355000 360.00 89715o00 MAINTiSUPVR 1 69420000 69420.00 300900 60720600 JANITOR i6 269340000 .450000 269790.00 19200000 270990.00 UTILITY MAN 1 4 1680000 49680.00 240.00 49920.00 61* 276t372000* 39752000* 2809124000* 129624.00* 292.748.00* ,6 239 *194139708.00* 209544.00 *19434 +252.00* 639150.00 *19497s4O2oOO* ;r F ANCKER HOSPITAL PAYROLL E as of June 15, 1960 Admin. Dept. R Full Time .Part Time Mein Rep Mech Accounting Clerk 2 Central Sup Rm Attend Electrician Accounting Machine Oper. 1 Nursing Attendant Maint Engineer Assist. Administrator 1 Practical Nurse Plumber Chief Clerk A 1 Ward Aide Steamfitter Chief Timekeeper 1 125* Clerk 6 Clerk Typist 4 2 Main Rep Bfg Dir: of Admission 1 Chief Nurse General Bldg Maint Supervisor Junior Clerk 4 5 Carpenter Junior Clerk Steno. 1 Head Nurse Custodial Worker 'A Junior Clerk Typist 2 Hospital Librarian Elevator Operator Personnel Officer 1 Nurse General Repairman Principal Clerk 1 Nurse Supervisor Groundsman Secretary Steno. 1 Inside Cleaner Sr. Clerk 6 Painter Superintendent 1 Nursing Care Storeroom Helper Switchboard Oper. 5 2 Watchman r 39* 9* 2 Pur. Sto. Issu. Orderly Main Rep Bfg Assistant,Buyer 1 Urology Attendant Custodial Worker Assist. Storekeeper 2 Orderly Buyer 1 Window Washer Sr. Clerk' Typist 1 Stock Clerk 2 Storekeeper A 1 Garage Storeroom Helper 1 1 Ambulance Driver 9* 1* Garage Foreman Housekeeping Clerk Typist Custodial Worker f Dir. of Housekeeping Housekeeper Mattress Maker Mender Seamstress .t L aund r'y Assist: Head Washerman A Custodial Worker Flatwo'rk Oper. Forelady Finishing Rm. Forelady Flatwork Rm. Head , Washerman A Ironer Laundry Issue Attendant Laundry Issue Helper Laundry Manager Laundry Worker Washerman r` Heat Light Pr Boiler Rm Helper Chief Operating Eng A Ice Plant Operator Operating Engineer A Sheet Metal Worker Stationary Fireman A G 2 1 1 5* 2 2 4 4 1 1 2 5 1 1 23* 32 1 2 35* 6 1 7* 1 1 Nursing Care Chief Nurse General 1 53 1 Central Sup Rm Attend 12 1 2 Dir of Nursing 1 Nursing Attendant 5 5 Nurse Instructor 2 1 Practical Nurse 38 1 Ward Aide 70 1 125* 3 6 5 2* Nursing Care Chief Nurse General 3 Clerk Typist 1 1 Head Nurse 25 1 Hospital Librarian 1 2 Nurse 83 1 Nurse Supervisor 9 1 122* 1 7 Nursing Care 2 Chief Orderly 1 2 1 Head Orderly 2 1 Orderly 39 15 1 Urology Attendant 1 5 43* 38* 3* Tr Schl Nurse U 1 2 1 4* 8 8* 1 1* 20 20* 1 79 1 81* 12 12* M Assist Dir of Nurs Sery 1 2 Chief Nurse General 1 1 Clerk Steno 1 1 2 Clerk Typist 1 4 2 Dir of Nursing 1 1 Housemother 1 4 Nurse Instructor 2 1 13* 4* Nurse Instructor 1 7 U 1 2 1 4* 8 8* 1 1* 20 20* 1 79 1 81* 12 12* M Full Time Part Time Nurses Residence Sup 1 Resident Pathologist Social Director 1 Sr Clerk Steno ii 1- 16* 2* Sr Med Technologist Pharmacy Laboratory Helper 1 1 Spec Therapy Pharmacists Aide 1 Chief Phys Therapist Pharmacist 2 Chief Occup Therapist Sr Pharmacist 1 Occupational Therapist 5* 1* Physical Therapist Med Surg Sery A Assist Med Dir T B Pav 1 Dietary Cardiologist 1 Baker Chest Surg T B Pav 2 Butcher Clerk Steno 1 Chief Cook Dentist 1 Clerk Typist Dir of Medical Clinics 1 Diet Cook Electrocardiograph Tech 1 Dietitian Instructor in Medicine 1 Dir of Dietetics Medical Dir T B Pav 1 Food Service Supervisor Opth Surgeon T B Pav 1 Food Service Worker Resident Internes 22 Head Baker Resident Surgeon 8 Junior Cook Res Surgeon Urology 2 Kitchen Worker Sr Clerk Steno 1 Sr Cook Sr Electrocardiograph T 1 Sr Dietitian Sr Med Technologist 1 Student Dietitian Staff Physician 3 Staff Urologist 1 Staff Obstetrician 1 Pasteur Plant Staff Opthomologist 1 Pasteurizer 52* * Pasteurizers Helper Med Recds Lib Chief Med Records Lib 1 Social Service Clerk 1 1 Chief Med Social Worker Junior Clerk 5 3 Clerk Steno Med Records Librarian 1 1 Medical Social Worker Sr Clerk Steno 1 1 Sr Clerk Steno 9* 6* Anesthesia Out Patient Anaesthesia Director 1 Chief Nurse General Res Anaestheologist 5 Custodial Worker 6* * Dir T B Division Head Nurse X Ray Service Nurse Clerk �► 1 Orderly Junior ;Clerk 2 Ward Aide Orderly 2 Roentgenologist 3 Senior ";Assist X Ray Tec i City Co Phys Sr Clerk Typist 1 Assist City Co Physn Sr X Ray Technician 1 Junior Clerk X Ray ,Technician 9 1 20* 1* z Surg Res Lab Laboratory Laboratory Helper Chief Bacteriologist 1 Pathology Attendant Clerk ' 1 Surg Research Lab Sup Custodial Worker 1 Medical Technologist 8 Pathologist 2 Pathology Attendant a 3 1 1 12 23* 1 1 2 1 5* 1 1 1 2 4 3 1 7 59 1' 2 21 5 4 5 117* 1 1 ' 2* 3 2 2 1 8* 2 1 1 8 5 2 24* 2 1 3* 1 2 1 4* M.-II 9* 1. 1 1 2 30 1 1 36* 1 i* 1 1 1 3* 2 7* 211 * * Chief Operating Engr Barber Chief Nurse General Chief Operating Eng RCH Clerk Custodial Worker Food Service Supervisor Food Service Worker General Repairman Head Orderly Head Washerman RCH Ironer Junior Clerk Junior Cook Kitchen Worker Maid Mender Nurse Nursing Attendant Occupational Therapist Operating Engineer RCH Orderly Painter Pediatrician Practical Nurse Sr Clerk Sr Clerk Typist Sr Cook Sr Dietitian Storekeeper RCH Superintendent Truck Driver Ward', Aide 5 s i` F RAMSEY COUNTY HOME PAYROLL as of June 15, 1960 Full Time Part Time 1 1 1 1 1 1 5 3 1 4 13 1 2 1 4 1 1 1 2 1 2 1 1 1 4 1 1 4 14 4 1 1 4 1 1 2 1 1 1 1 15 4 81* 31* 81 31 k L i k e 'i 1 c� 0 tj c+ N. 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Q 0 0 0 0 0 0 0 0 bd 00000000 \0 H w In N N 01% W w In 0\ O o O In0\DNOr --a 000\ In O w OD I 00000 • N • • • . • • O 000000 21 O 0 0 0 0 0 0 vvv v W\CIDD 1 1 N 03 In O O In O O o Y Y coo O N In g In o W O 1 1 0 1 1 0 0 0 O O o I o O o 0 Q Q Q Q Q I'd a CD w PO O 4 4 M N m m m H ch • w r pmpt c+ H 4 r m H tr dq C+ is c► m R� - O a Cl °' c r 0 4 d 0 p O 0 m y 'n CD 1-4 Co CD A m 'I & • m HCAl m w H \0 � In O O N O 0 0 OIn 1 0000 O O O O O O O 010 lrit W limit - lNn OND O N O O W N O N Fed ,I In O O O\ In O H a OD000000co H • . • . Q 0 0 0 0 0 0 0 0 bd 00000000 \0 H w In N N 01% W w In 0\ O o O In0\DNOr --a 000\ In O w OD I 00000 • N • • • . • • O 000000 21 O 0 0 0 0 0 0 vvv v W\CIDD 1 1 1 1 W 1 1 &In H \HO O N In g In o W O In O O O In O O o I o O o 0 010 O O O O O 000 O O O O O ODHW -Iw N N O \O In W Ut 4-- In OD O N O O W N Q N -,71n000"A0H PDOOOOQOOD 00000000 00000000 \0 • H W In N N 0\ ;WWlnp\0 0 Y O In O \0 N. 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N W H H O In O O In Vt \0 N In H In W \0 \\0 Y v N O \O H OD O OD \O H W--7\O\0_7 � v \D 6 \O In O O In In O O 1 00 1 81 0 0 0 0 m td H m \0 a rn H m e+ d \O d 0\ 9 W 0 H \O O\ 0 O O O w H 0\ d N 0 Chi 0 0 m H m H bd CD m 1 F3 CHZ? a G O (D 4 m a C+ w ch O fn H w ►d O m 0 0 ca \0 t4 (D 0 O H W O RO _P;. 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J N O J OD d` W Q O Ul N -r` w 0 m w G\ -- n �-• �. N %0 w -!` W N 0 0 m Q m J O\ Q k0 Ul -- O �0 O U Ul O Ul OD -- 0 -r` Ul N -- -• -• 0) 0 O w O` \U m c • • • • • • • • • • • • • • • • • • • • In In z W O OD N Ul N C7 -- J -- W. OD -1-i 0) N O OD O 0\ N Ul ON O O Ul 0\ W O 0\ J � N 0) -- 3 ,. -- D� -A O - n -I z7 -I rn� .- . - A I �(n -I n -O N w w Ln 03 ° D m >-I >M> N 0\ J J ON \0 0 -- O -j Ul -- W �0 �0 J W D > r- ;o r: r--- r . . . . . + + + . . + + . + + Ol 1 Om T N In O, O �0 J O N w w au Ul co N J �-' n rn N N 03 Ul -- �` %0 03 Ul - O -- O\ W 0\ O -- � J -j Ul -• 0 -- x In D 00 o. O W i it -- : 0 0 - U r- r - • • • • • •O • • { m -- D O � O J OD k0 -A U Z < A %0 N O -P, O OD O+ 07 U W J D Q O k0 O 0 O J Ul O\ -1 D (n -- -- • m _ ° 6) (n 00 N p N •0% n 1 -- 0 N w -- w OD J N -- W Ul W -- O O Z 11 N 0 W m D -- w O w Q Ul U1 '-' 4_1 Q O 0 J W w . . . . . . . . . . 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W 0� • W W + (` • J J N O W OD 0 — O 41 O .. — O Ul — k O� 00 N - ON W �' O �0 N N W � J •1-` m - • • • • kp • • . • • • . . • • • . • • • . �0 ' 0) W •D Ul Ul _P p Ul Ul J Co N O ►- J M D N W N N Ul ►- , D J N W ON N N _-` U1 W N 4-- Ul M Ul N W Or% W J D J Ul J d-` Q J Ul Ul • . . O • 00 . 0\ %0 Ul J . J 0\ N 01 • 4-1 O O Ul N 10 Ul %0 0• 0) kO O _` Ul O N' Ul Q N 4` 0\ •- 0\ J W O W %0 W 03 N N O O �0 O N Q W J J Q W • . • Ul •. • • • • • • • • • • • • • • • Ul N 0) W O Ul Ul ►- Ul W 0 W Ul 0 W N N O N o O 0\- J Ul O) W 0` N N Ul OD n ;u _A;0 — rq O m %0 CJ J -1 n W W -+n •S W ►- •R J J m N J Q - -< m O O D m CJ t-` N A Ul O7 W O Q •- au OD N Ul N D U Ul D 0\ � N -P Ul W -P, O J N W J \0 N z -r-` J 0� '-' n 0% r, �O J Ul 0\ 0) N O O N W O J J 0 W O 0• Cn O 0 0 • ; 0 • • • • • •W •M • • • • • (31 O 41 0) 0o N Ul O 03 Ul W •1_` 0) J Ul W W J N D _ .- .. 0N A N N O n O W W N W N ►- Q CO N O m D 0\ O O O W .- W N Ul O J � �,0 0 N �0 J 0) O r • • D . • . . + • . • . . . • . . 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J D \0 J O W W 4` O O O W J O J o J ON W Q W O 0 O -l-` O N 07 0 �p D p ON W m O N m O Q Ul m Cn O a` m O o O O O � � Ul 0) \0 O W m o O J w O N N N W N U1 ON ►- ►- 0 D C% co J Ul N J ►- 4' �- �- ►- N W N 0� J '-' �0 01 03 W �0 ►- ON J W o W 00 N 000 03 %D 0 03 � 0) ON O I'0 Ul %0 O � J � ♦ i i i i i A i i i i i • i i i i i i A • i . . . . i i A W O W J m J W m Ul O Ul Ul Ul N 0 � r N O O rn 00 Q o O O N 0% m DO m O O k0 J O WO W O m N -D N O O O O 0 00 o O O O m N A w W O O 00 O O o O O O O O O O 00 O O O O O O • • • • • • • D • • • • • • • • • • • • D • • • • • • • • D 00 O O O O O A 00 O O O O O O O Q O O -0 A 00 O O O O G A 00 O O O o O O O O O O A 00 O O O O O O A � p z Ul Ul ►- '- Z n CD J N n 0\ 00 J N � Ul W n i i i • i i . O i O i . . i . i J; O W CI' O u D O O O J A W O m m -1` N O O O A 00 00 N A W O o �0 N o O O O o o O O O o b O O 1 • 0 • 0 • 0 • 0 • o 0 rn • 0 • 0 • 0 • 0 • 0 • 0 • 0 • D . o 0 rn • o • 0 • 0 • 0 O rn O O O O O n O O O O O O O O O n O o O o nA • x F O cn 0 U A C -0 A 07 3 Gl D -i D H D D z D m C m A H -►1 A 0 D 0 m D D 3 3 < 3 C H A A 07 m m m m Z D n -i -1 z A Z 0 r D cn O m mr- m � w -i (n w r- x cn 0 (n H W -q _0 J 2 m < o -i c rn r z m o 0 (n -i 3 A co m m O D W f A z -1 -< � D Z m 3 D z z m m -I 0 (n z m D (n (n H -1 -i Z m D (n -i -1 In m H D Z C H Z � —1 (n H O � O A z _ (n C 3 W Ul N Ul N W �o W Ul O N O w 0] W N O Ou J O N W �D Oo J J Ul O %0 . 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