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Cedarbrook & Gracedale

Cedarbrook* Gracedale
Medicare Performance Rating 4 Stars 2 Stars
Beds 680 725
Occupancy 668 638
Occupancy % 98.2% 88.0%
Management Outsourced County

"Note: Cedarbrook is licensed as a single nursing home with multiple buildings;


Fountain Hill does not have a stand-alone license.
Cedarbrook Nursing Home
County Ownership

2011 Budget
LEHIGH COUNTY OWNERSHIP

Net Operating (before other financing uses) 3,540,603

Transfer from Brookview IL 46,200

Lehigh County - Nursing Home Indirect Cost


Debt Service (Interest & Principal) BD 2010 $ 121,648
Debt Service (Interest & Principal) BD 2001 709,992
Debt Service (Interest & Principal) BD 2007 116,356
ESCO Phase 1 (Interest & Principal) 327,686
General Insurance Reserve 49,750 $(1,325,432)

Other Capital Projects (765,288)

Indirect Cost - Retiree Health Insurance —County 2,427,780

Other Indirect County Support -County 1,206,860


$ (3,634,640)
Total Other Financing Uses (5,725,360)

County Contribution 2011 $ (2,138,557)


Cedarbrook Nursing Home
County Ownership, Leased Operations and or Privatize

2011 Budget • Lease Operations Sell (Privatize)


LEHIGH COUNTY OWNERSHIP YES • Limited (BOARD NO
Vote)

Leased Income ($4,200 per bed @ 680) $ - 1$ 2,856,000


Sales Price ($43,500) minus transaction costs 10% $ 26,622,000
1
Net Operating (before other financing uses) $ 3,540,603 |j

Transfer from Brookview IL $ 46,200 I

Lehigh County - Nursing Home Indirect Cost


Debt Service (Interests Principal) BD 2010 $ 121,648 Lessee A
Debt Service (Interest & Principal) BD 2001 709,992 Lessee A
Debt Service (Interest & Principal) BD 2007 116,356 Lessee A
ESCO Phase 1 (Interest & Principal) 327,686 Lessee A
General Insurance Reserve 49,750 $(1,325,432)

Other Capital Projects

Indirect Cost - Retiree Health Insurance —County


Estimated Additional Retiree Health Insurance (50) -County
Other Indirect County Support -County

Total Other Financing Uses

County Contribution 2011

Net Sale Proceeds

Nursing Home Bond (Principle & Interest) Obligation


(Fund 2001, Fund 2007, Fund 2010 & ESCO Fund)

2011 Comparison

(1) Does not include any addition cost for unemployment, unused leave and unused disability that will be
incurred with the lease or sale of the Nursing Home.
CEDARBROOK/ FH - STAND ALONE COMPARISON
BASED ON THE PROPOSED 2011 BUDGET

CBA F-H1LL COMBINED


2011 PROPOSED BUDGET BUDGET BUDGET BUDGET
REVENUE R&B $ 41,060,047 $ 16,683,331 $ 57,743,378
MA GRANTS 2,445,397 993,603 3,439,000
PARTS 1,333,271 541,729 1,875,000
OTHER INCOME 211,000 59,450 270,450
REVENUE TOTALS $ 45,049,715 $ 18,278,113 $ 63,327,828

EXPENDITURE TOTALS $ 43,475,406 $ 16,311,819 $ 59,787,225

Admin - Other Financing Uses


Transfer To Sinking Fund 2001 (Prinicple) $ 225,000 $ $ 225,000
Transfer To Coupon Series 2001 (Interest) 484,992 - 484,992
Transfer To Coupon Series 2007(lnterest) 116,356 - 116,356
Transfer To Other Capital Project Fund 765,288 - 765,288
Transfer To Other Capital Project Fund FH (462,770) 462,770 -
Transfer To Gen Insurance Reserve 49,750 - 49,750
Transfer To Sink ESCO Phase I (Principle) 199,472 199,472
Transfer To Coupon ESCO Phase I (Interest) 128,214 - 128,214
Transfer To Sinking Fund FD 2010 708 708
Transfer To Coupon Series FD 2010 120,940 - 120,940
Indirect Cost Allocation 2,797,040 837,600 3,634,640
TOTAL - ADMIN OTHER USES $ 4,424,990 $ 1,300,370 $ 5,725,360

TOTAL PROPOSED 201 1 EXPENDITURES $ 47,900,396 $ 17,612,189 $ 65,512,585

BROOKVIEW GAIN TRANSFER $ (46,200) $ $ (46,200)

COUNTY TRANSFER $ 2,804,480 $ (665,923) 2,138,557


NURSING HOME TRANSITION COSTS

RETIREMENT HEALTHCARE — 65 ESTIMATED 585,000


RECURRING COSTS 5 YEARS 2,925,000

PENSION (VOLUNTARY AND INVOLUNTARY EFFECT) 264 EMPLOYEES


PENSION (VESTING ONLY EFFECT) 79 EMPLOYEES

ONE TIME COSTS:


UNUSED LEAVE - PER YR END REPORTS 808,502
UNUSED DISABILITY ACCRUAL RETIREES -PER YR END REPORTS 1,048,500
PICA 142,061

UNEMPLOYMENT - 90 @$400@26 WEEKS (ASSUME EMPLOYMENT) 936,000

ONE TIME COSTS 2,935,063


2,935,063 $ 5,860,063
NURSING HOMES TO THE TAX ROLLS
ADDITION OF

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6,708,800

$ 93,980.71

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