Budget overtures in relation to civilian pay

2. Civilian Payroll
accounts for 90% of
the annual budget
2

3. A TYPICAL HOSPITAL
BUDGET IS EXPENSED AS
FOLLOWS:
 25% DOCTORS, NURSES, & MGMT SALARIES
 25% FOR ANCILLARY STAFF SALARIES
 20% INVENTORY, LABORATORY, FOOD
 8% BUILDING EXPENSES
 10% GENERAL ADMINISTRATIVE COSTS
 12% PROFITS
3

4. 4
CRDAMC BUDGET IS
EXPENSED AS FOLLOWS:
 67% DOCTORS, NURSES, & MGMT SALARIES
 22% ANCILLARY STAFF SALARIES
 6% INVENTORY, LABORATORY, FOOD
 1% BUILDING EXPENSES
 3% GENERAL ADMINISTRATIVE COSTS
 0% PROFITS

5. %
CRDAMC
Staff % Core
%
Overhire/
Excess
Civilians 58% 59% 41%
Contractors 17% NULL NULL
Military 25% 77% 23%
5
CRDAMC STAFF BREAKOUT

6. o- Convert critical positions from GS to MIL positions
o- 85 positions identified for conversion to mil
o- Primarily leadership/supervisory positions
o- Convert positions from GS to CTR
o- 250+ positions identified for conversion to CTR
o- Cost effective positions
o- Move on-board overhires to vacant core positions
o- 300+ vacant core positions
o- Convert overhire positions to core line
o- As overhires positions are vacated, leave vacant
6
Recommendation for Addressing Staff Overages

7. GS to MIL Positions
7
346C 01 S MED OFF (FP) GP 00602 14
348C 01 S MED OFF (FP) GP 00602 14
040 99A MED OFF (FP) GP 00602 14
136 01 MED OFF (PED) GP 00602 14
346D 01 S MED OFF (FP) GP 00602 14
346D 01 S MED OFF (FP) GP 00602 14
347D 01 S MED OFF (FP) GP 00602 14
348C 01 S MED OFF (FP) GP 00602 14
348D 01 S MED OFF (FP) GP 00602 14
348D 01 S MED OFF (FP) GP 00602 14
746 02 SUPV MED OFF (OCC HLTH) GP 00602 14
347C 01 S MED OFF (FP) GP 00602 15
666 94W SUPV MED OFF (FM PR) GP 00602 15
300A 99A S MED OFF (FP) GP 00602 15
504 99A S PSYCHOLOGIST (CLIN) GS 00180 14
504 99A S PSYCHOLOGIST (CLIN) GS 00180 14
504C 99A S PSYCHOLOGIST (CLIN) GS 00180 14
501A 02 CHILD AND ADOL PSYC GS 00180 14
504 13 S PSYCHOLOGIST (CLIN) GS 00180 14
522 01 S PSYCHOLOGIST/SOC WORKER GS 00180/00185 12
391 99A S SOC WKR GS 00185 12
512 03 S SOCIAL WORKER GS 00185 13
512 03 S SOCIAL WORKER GS 00185 13
515 06 S SOCIAL WORKER GS 00185 13
515 06 S SOCIAL WORKER GS 00185 13
666 94W SUPV SOCIAL WORKER (TRANS UNIT) GS 00185 12
667 13 SUPV SOCIAL WORKER GS 00185 13
721 01 SUPV CUST SVC SPEC GS 00303 11

8. 8
GS to MIL Positions-Cont’d (2)
611B 04 S CYTOTECHNOLOGIST GS 00601 11
207A 01 MED OFF (OTOLA) GS 00602 14
602 01 MED OFF (RADL) GS 00602 14
501D 01 MED OFF (GME/PSYCH) GS 00602 15
347D 03 S PHYS ASST GS 00603 12
390A 99A S PHYS ASST (ED) GS 00603 12
746A 99A S PHYS ASST (OCC HL) GS 00603 12
346D 99A S NUR (APRN PRAC) GS 00603 13
348D 03 S PHYS ASST GS 00603 12
106A 99A
PHYS ASST/NUR PRAC
(INTERDISCIPLINARY) GS 00603/00610 12
104 05 S NUR (CLIN/AMB) GS 00610 10
750 99A S NUR (CLIN HN ) GS 00610 10
106 99A S NUR (CLIN/AMB) GS 00610 10
741A 01 S NUR (COM-OC HL) GS 00610 11
450A 01 SUPV NUR (CLIN) GS 00610 12
100A 04 S NUR (CLIN) GS 00610 12
501D 99A S NUR (ADMIN/CASE MGR/CONSULT) GS 00610 12
346C 02 S NUR (APRN PRAC) GS 00610 13
347C 02 S NUR (APRN PRAC/FM PR) GS 00610 13
346C 03 S NUR (APRN PRAC) GS 00610 13
347D 99A S NUR (APRN PRAC) GS 00610 13
347D 99A S NUR (APRN PRAC) GS 00610 13
204A 03 S NUR (CLIN/AMB HN) GS 00610 09
273 16 S NUR (CLIN/OB-GYN) GS 00610 10
742A 01 S NUR (COM-OC-HL) GS 00610 11
746A 02 S NUR (CLIN/COM-OC-HL) GS 00610 11
422B 03 S NUR (CLIN/PED) GS 00610 11

9. 9
GS to MIL Positions-Cont’d (3)
666 94W SUPV NUR (CLIN) GS 00610 11
342 99A S NUR (CLIN/AMB HN) GS 00610 11
322 99A S NUR (CLIN/AMB HN) GS 00610 11
734 01 S NUR (ADMIN) GS 00610 12
422D 03 S NUR (CRT CAR) GS 00610 12
347C 02 S NUR (APRN PRAC/FM PR) GS 00610 13
348C 02 S NUR (APRN PRAC/FM PR) GS 00610 13
348D 02 S NUR (APRN PRAC/FM PR) GS 00610 13
348D 99A S NUR (APRN PRAC) GS 00610 13
206A 01 S HEALTH TECH GS 00640 08
610A 05 S QA/INSPEC GS 00644 11
611D 01 S HISTOPATHOLOGY TECH GS 00646 09
601D 09 S DIAG RAD TECH GS 00647 09
601B 01 S DIAG RADL TECH GS 00647 10
111B 04 S RESPIRATORY THERAPIST GS 00651 09
634 09 S PHARMACIST GS 00660 13
634 09 S PHARMACIST GS 00660 13
631 01 CLINICAL COORDINATOR GS 00660 14
630A 03 ASST CHIEF GS 00660 14
302 99A S OPTOMETRIST GS 00662 13
302C 99A S OPTOMETRIST GS 00662 13
302C 99A S OPTOMETRIST GS 00662 13
302B 01 S OPTOMETRIST GS 00662 13
235 01 S ORTHOTIST/PROS GS 00667 11
021 01 S HLTH SYS SPEC GS 00671 13
020A 99A SUPV HLTH SYS SPEC GS 00671 13
744 02 S IND HYG GS 00690 13
666 22 SUPV SUPPLY SPEC GS 02001 10
632 01 PHARMACY INFO S GS 02210 12

10. 10
GS to CTR Positions
GP 0180 14 GS 0603 12
GP 0602 14 GS 0610 10
GP 0602 15 GS 0610 09
GS 0180 11 GS 0610 11
GS 0180 13 GS 0610 12
GS 0185 11 GS 0644 12
GS 0185 12 GS 0644 09
GS 0185 11 GS 0660 12
GS 0601 12 GS 0662 13
GS 0603 12 GS 0665 12
 These positions are the most costliest to maintain.
 Due to their skillset, their sole focus should be patient care. Money spent to employ licensed
professionals who do not see patients , but operate as admin/mgrs is money wasted.
 Decisions made in the past recompensing these specialties with raises, bonuses, awards,
and tuition reimbursement have exposed CRDAMC to questions of unfairness, bias, and
unethical behavior by leaders, resulting in distrust of leaders, and the lowering of morale
organization wide.
 By shifting positions to contract, you eliminate hospital leaders from the role of gifting
monetary awards/salaries/bonuses/raises, to their peers/friends/like specialty, and the
perception or opportunity to demonstrate low/no integrity.
 Shifts responsibility of ensuring personnel are credentialed to contractor reducing Darnall’s
role to one of oversight and tracking.

11. 11
ADOPTION OF RECOMMENDATIONS
%
CRDAMC
Staff % Core
%
Overhire/
Excess
Civilians 20% 99% 1%
Contractors 50% NULL NULL
Military 30% 85% 15%

12. 12
CRDAMC BUDGET AFTER
ADOPTION OF
RECOMMENDATIONS:
 20% DOCTORS, NURSES, & MGMT SALARIES
 20% ANCILLARY STAFF SALARIES
 10% INVENTORY, LABORATORY, FOOD
 5% BUILDING EXPENSES
 10% GENERAL ADMINISTRATIVE COSTS
 35% TDYS/TRAININGS/PERKS