Agency: Orange font/highlight = new or modified item

a / b / c / d / e / f / g / h / i / k
Admitted Patient Services
$’000s / Outpatient Services
$’000 / Emergency Department Services
$’000 / Off Campus, Ambulatory Services
$’000 / Mental Health
$’000s / Residential Aged Care including RAC Mental Health
$’000s / Aged Care
$’000 / Primary Health / Other Services
$’000s / CONSOLIDATED
$’000s
A0000
A0000
A3000
A4000
A8000
A8500
M2002-
M2100 / C0000
M2102-
M2200 / B0000 / F0000
D0000 / H0000 / J0000
J2000
H8700 / J5000
J7000 / L0000 / M0000
M1000
M1500
M2202-
M2400
M4000
M5000
M8500
N0000
N2000
N8500
P0000
R0000
R1000
Y0000
Y1000 / N0000
N2000
N8500
P0000
R0000
R1000
Y0000
Y1000 / N0000
N2000
N8500
P0000
R0000
R1000
Y0000
Y1000 / N0000
N2000
N8500
P0000
R0000
R1000
Y0000
Y1000 / N0000
N2000
N8500
P0000
R0000
R1000
Y0000
Y1000 / N0000
N2000
N8500
P0000
R0000
R1000
Y0000
Y1000 / N0000
N2000
N8500
P0000
R0000
R1000
Y0000
Y1000 / N0000
N2000
N8500
P0000
R0000
R1000
Y0000
Y1000 / N0000
N2000
N8500
P0000
R0000
R1000
Y0000
Y1000
Services Supported by Health Service Agreement
Salary Costs (Including overtime, penalties, allowances)
1 / Salaried Medical Officers / =a1+…+i1
2 / Registered Nurses / =a2+…+i2
3 / Enrolled Nurses / =a3+…+i3
4 / Student Nurses / =a4+…+i4
5 / Trainee/Pupil Nurses / =a5+…+i5
6 / Other Personal Care Staff / =a6+…+i6
7 / Diagnostic and Health Professionals / =a7+…+i7
8 / Administrative and Clerical Staff / =a8+…+i8
9 / Domestic and Other Staff / =a9+…+i9
10 / Total—Salary (=1 to 9) – Note 1 / =a1+…+a9 / =b1+…+b9 / =c1+…+c9 / =d1+…+d9 / =e1+…+e9 / =f1+…+f9 / =g1+…+g9 / =h1+…+h9 / =i1+…+i9 / =k1+…+k9
11 / Workcover Premium
12 / Departure Packages
13  / Long Service Leave
14  / Superannuation
15  / Total Employee Benefits – Note 2 / =f10+…+f14
Non Salary Labour Costs
16  / Fees for VMO’s
17  / Agency Costs - Nursing
18  / Agency Costs - Other
19  / Total Non Salary Labour Costs – Note 2 / =f16+…+f18
Supplies & Consumables
20  / Drug Supplies and S100 Drugs
21  / Medical Surgical Supplies, Prosthesis & Pathology Supplies
22  / Food Supplies
23  / Total Supplies & Consumables – Note 2 / =f20+…f22
Other Expenses from Continuing Operations
24  / Domestic Services & Supplies, Fuel Light, Power and Water
25  / Insurance Costs funded by DHS
26  / Motor Vehicles Expenses
27  / Repair & Maintenance and Maintenance Contracts
28  / Patient Transport
29  / Bad and Doubtful Debts
30  / Lease Expenses
31  / Other Administrative Expenses
32  / Audit Fees (VAGO and Others)
33  / Other Expenses (including Ex Gratia Payments)
34  / Total Other Expenses from Continuing Operations – Note 2 / =f24+…+f33

Note 1: Item 10 – “Total Salary” in consolidated column must agree with the ‘Salaries and Wages’ amount as reported in ‘Note XX –Expenses’ in the Consolidated HSA (Health Services Agreement) 2009 column of the 2008-2009 Annual Financial Statement. (See Note 3 – Expenses; Notes to and Forming Part of the Financial Statements of Health Services Annual Reporting Guidelines 2008-2009). Where hospitals have inadequate information to provide details of salary costs by labour categories, an estimate should be carried out.

Note 2: Sub totals for Employee Benefits, Non Salary Labour Costs, Supplies & Consumables and Other Expenses from Continuing Operations must agree with that reported in “Note XX – Analysis of Expenses by Source” in the Consolidated HSA (Health Services Agreement) 2009 column for RAC including Mental Health of the 2008-2009 Annual Financial Statement. (See Note 3a – Analysis of Expenses by Source; Notes to and Forming Part of the Financial Statements of Health Services Annual Reporting Guidelines 2008-2009).

Agency Information Management System Form 1B - Page 2 of 2 / Effective 1 July 2009