2020-21 Budget Plan and 2020-21 and 2021-22 Capital Expenditure Plans May 29, 2020 2020-21 Budget Plan and Capital Expenditure Plans Saskatchewan Health Authority 2020‐21 Budget Plan The Saskatchewan Health Authority budget plan is  prepared on a consolidated basis and consists of: • SHA operating budget • SHA capital budget • 3sHealth operating and capital budgets Notes: • The 2020‐21 Budget Plan does not include financial impacts that may be incurred  from the COVID‐19 pandemic due to their uncertainty  • Also not built into the 2020‐21 Budget Plan at this time is recently announced  government economic stimulus funding and planned expenditures. A notional plan is  being presented for approval by the Board, pending government budget  appropriation and approval of planned expenditures New Initiatives 2020‐21 •New government investments  announced and built into the  Operating Budget are: • $20M – Surgical  • $15M – Administrative systems  replacement • $12M – Mental Health & Addictions • $8M – Other various initiatives Total Budgeted Operating Revenue Total Revenue  $4,082,803,845 Increase of $130,884,064 (3.3%) from 19‐20 Total Budgeted Operating Expenditures  (After Balancing Strategies) Total Expenditures $4,082,803,845 Increase of $115,496,772 (2.9%) from 19‐20 Capital Budget  Capital Overview Buildings:   • 270+ health care facilities • Facilities replacement value estimated at $7.3 billion • Provincial average age of buildings is 41 years Equipment: • Original cost ‐ $1.02 billion with only 16.7%  remaining value after depreciation Information Technology Equipment: • Major investments required • Co‐ordination with eHealth Capital Plan Objectives • To address: • Infrastructure and equipment failure risk • Asset value (performance) • Priorities for sustainment of critical  operations • Effective deployment of investments • Patient and staff safety 2020‐21 Capital Expenditure Plan SASKATCHEWAN HEALTH AUTHORITY CAPITAL EXPENDITURE PLAN FOR THE YEAR ENDING MARCH 31, 2020 Ministry - Life Safety/Emergency & Infrastructure (Block) Ministry - Capital Equipment Ministry - Major Projects Foundation & Donation Commitments Total 2020-21 Funding Sources 54,260,000 23,109,000 44,600,000 10,015,532 131,984,532 Infrastructure Capital Equipment Major Projects 54,260,000 33,124,532 44,600,000 131,984,532 Total Planned Expenditures 2020‐21 Capital Infrastructure Budget • Life Safety/Emergency & Infrastructure ‐ $54.26M • Approx. $2 million available for contingency 2020‐21 FUNDING ALLOCATION Ministry Directed  Projects 19% Contingency 1% 2018‐19 & 2019‐20  Carryover Projects 80% 2020‐21 Capital Equipment  Expenditure Plan • Equipment funding from Ministry/Foundations/Other  Donations ‐ $33.1M 2020‐21 Major Capital Projects  Expenditure Plan • Major Projects – $44.6M • Meadow Lake Long‐Term Care  $  15.7M • Provincial Hospital Electrical Renewal  $  13.9M • Victoria Hospital $  15.0M • Based on recent government announcement, there is  anticipation of additional funding to support Major  Projects. 2020‐21 Budget Plan Summary SHA Budget Budgeted Operating Revenue Budgeted Operating Expenses Operating Budget Surplus $         4,082,803,845 $         4,082,803,845 $0 3sHealth Budget Budgeted Operating Revenue Budgeted Operating Expenses Operating Budget Deficit $               65,714,000 $               67,114,000 $                (1,400,000) Adjusted Operating Budget (Deficit) including 3sHealth $               (1,400,000) 2020‐21 Budget Plan Summary (continued) Budgeted Capital Revenue Budgeted Capital Expenses           Capital Budget Surplus $              131,984,532 $              123,240,699 $                   8,743,833 Adjusted Consolidated Surplus (Deficit)             Adjusted Operating Deficit (including 3sHealth) $                 (1,400,000) $                   8,743,833             Capital Surplus $                   7,343,833             Total Adjusted Surplus Note – The budgeted capital expenses of $123,240,699 differs from the capital expenditure plans  total of $131,984,532.  The planned expenditures represents the actual projects or equipment  purchases that funding will be spent on.  For budgeting purposes the capital expenses is the amounts  that will be expensed for accounting purposes and represents amortization of all owned capital  assets and interest charges on long‐term debt for the year. Recommendations: • That the Board approve the Saskatchewan Health  Authority 2020‐21 Budget Plan • That the Board approve the 2020‐21 Capital  Expenditure Plan 2020‐21 Government Economic  Stimulus • An economic stimulus package through SaskBuilds was recently  announced by provincial government for infrastructure renewal  projects across the public sector, including healthcare • Health sector funding identified includes $25 million in 2020‐21 and $75 million  in 2021‐22 • Due to the timing of when this was announced and because funding has not  been formally approved and planned projects have not been approved through  process with SaskBuilds, the 2020‐21 anticipated amounts have not been  included in the SHA Budget Plan as just presented • However, identification of proposed or notional projects for this funding, using  a similar prioritization process utilized by SHA Infrastructure Management, has  been completed and submitted to the Ministry of Health  • 2020‐21 projects are ready to initiate & execute, pending government budget  appropriation and approval of planned expenditures 2020‐21 Government Economic  Stimulus Capital Expenditure Plan • $25M SaskBuilds economic stimulus  2020‐21 FUNDING ALLOCATION Affiliates 12% Exteriors 2% Roofing 20% Other Infrastructure 5% Nurse Call 4% Medical Gas / Vac 2% Elevators 6% Interior / Functional 18% Plumbing 4% Grounds 2% Fire Safety 1% Electrical 11% Hvac and Controls 13% Recommendation: • That the Board approve the notional 2020‐21  Economic Stimulus Capital Expenditure Plan, pending  government budget appropriation and approval of  planned expenditures 2021-22 Capital Expenditure Plan Saskatchewan Health Authority 2021‐22 Capital Expenditure Plan • Multi‐year planning and budgeting creates opportunities for  2021‐22 projects and equipment acquisition by initiating  planning in current fiscal year to enable efficiencies in delivery  next fiscal • This is a notional plan requiring Board approval, and pending certain approvals by  government • Plan assumes similar Ministry of Health funding for infrastructure projects as received in  2020‐21 ($55 million) • Plan assumes similar Ministry of Health funding for equipment as received in 2020‐21  ($23.1 million) and nominal amounts from Foundations • Plan assumes government economic stimulus funding as recently announced for $75  million • Infrastructure planning includes initiation through to design and possibly procurement • Funding/cash flow will be required to support planning efforts in 2020‐21 for  2021‐22 projects • Given some 2018‐19 and 2019‐20 current projects are on hold due to COVID‐19  constraints, consideration will be given on reallocation of those projects funds for  planning efforts 2021‐22 Capital Expenditure Plan Ministry - Life Safety/Emergency & Infrastructure (Block) Ministry - Capital Equipment Foundation & Donation Commitments Government Economic Stimulus Funding Total 2021-22 Funding Sources Infrastructure Capital Equipment $ $ $ Total Planned Expenditures $ 55,004,000 23,109,000 524,000 75,000,000 153,637,000 130,004,000 23,633,000 153,637,000 2021‐22 Capital Infrastructure  Expenditure Plan • Life Safety/Emergency & Infrastructure ‐ $55M 2021‐22 FUNDING ALLOCATION Contingency 7% FCI Renewal 5% Exteriors 3% Roofing 3% Elevators 3% Plumbing 6% Affiliates 11% Hvac and Controls 15% Other Infrastructure 7% Electrical 3% Nurse Call 6% Fire Safety 8% Medical Gas / Vac 2% Interior / Functional 14% Grounds 7% 2021‐22 Capital Equipment  Expenditure Plan • Equipment funding from Ministry/Foundations/Other  Donations ‐ $23.6M E ‐ Other 15% E ‐ Operating Room 15% E ‐ Medical Monitoring 3% E ‐ Patient Beds & Stretchers 9% E ‐ Laboratory 3% E ‐ Food Services 1% E ‐ Environmental Services 1% E ‐ Patient Care 6% E‐ Emergency Medical  Services 4% E ‐ Patient Lifts 5% E ‐ Pharmacy 3% E ‐ Tubs 7% E ‐ Digital Health 17% E ‐ Diagnostic Imaging 11% E ‐ Defibrillators 0% 2021‐22 Government Economic  Stimulus Capital Expenditure Plan • $75M SaskBuilds economic stimulus  2021‐22 FUNDING ALLOCATION Affiliates 12% Exteriors 6% Roofing 6% Elevators 2% Plumbing 3% Hvac and Controls 11% Electrical 2% Fire Safety 0% Grounds 2% Interior / Functional 3% Other Infrastructure 53% Recommendation: • That the Board approve the notional 2021‐22 Capital  Expenditure Plan, pending government budget  appropriation and approval of planned expenditures Questions? 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