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This fund finances medical supply and service operations of the Public Health Service. It is reimbursed from the appropriations supporting the programs benefited (42 U.S.C. 231).

Budget program. The principal activities of the fund are carried out at (a) the Supply Service Center (formerly the medical supply depot) at Perry Point, Md., which maintains inventories of medical stock and supplies to meet, in part, the requirements of the Public Health Service and requisitions of other Government organizations; (b) the National Institutes of Health, Bethesda, Md., which maintain a central supply of scientific and general-use materials, supplies, and special equipment; and also provides services such as animal production, statistical processing, and instrumentation for the Institutes; and (c) the Division of Finance, Washington, D.C., which finances accounting, auditing, and electronic data processing services for bureaus and divisions of the Public Health Service.

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26.0 Supplies and materials. 31.0 Equipment...............

Total costs, funded... 94.0 Change in selected resources.. Adjustments in selected resources (inventories, etc.)..

Total obligations...

Total number of permanent positions. Full-time equivalent of other positions. Average number of all employees.. Average GS grade..........

Average GS salary..

Average salary of ungraded positions..

Identification code 09-20-4551-0-4-651

Personnel Summary

Program by activities:
Operating costs, funded:
Cost of goods sold.
Industrial expenses..
Adjustment of prior year expense....

1964 1965 1966 actual estimate estimate

310 358

358

358 2,322 2,811 3,001 3,052

Total operating costs, funded.... Capital outlay: Purchase of equipment.

Total program costs, funded.. Change in selected resources

525

569

586

192

275

289

-70

-63

-65

1,675

-65 2,064 2,222

2,243

2,322 2,811 3,001 3,052

1964 actual

2,940 7

138

3,085 258 18

135

1,988

290

300

5,827

17

11,917 317

-381

11,853

WORKING CAPITAL FUND, NARCOTIC HOSPITALS Program and Financing (in thousands of dollars)

508

301

1964 actual

678 206

28

556 2 501 7.1 $7,024

615 2 589

7.3 $7,484

$5,104 $5,133

913

20

933

-81

1965 1966 estimate estimate

3,730 58

125

3,913

323

22

141 2,230

290

385 6,435 20 13,759 132

-87

13,804

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4,157 33 129

1965 1966 estimate estimate

4,319

341

23

143 2,895

294

430 6,889 10 15,344 17

15,361

650 2 635 7.3 $7,559 $5,142

507

187

695

8

702

2

852

700

704

Total obligations..

10

1 Balances of selected resources are identified on the statement of financial condition.

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1964 actual

-900 -7

-9

-56

120

852 -916

-64 33

9

-22

1964 actual

904

914

-10

Budget program.-Farms and other industries operated at the Fort Worth, Tex., and Lexington, Ky., narcotic hospitals provide patients with occupational outlets as a part of their therapeutic rehabilitation. Useful products are made for sale to the hospitals and other Government institutions (42 U.S.C. 258). The investment of the U.S. Government at the end of 1966 is estimated at $615 thousand including $134 thousand in appropriation and $95 thousand in donated assets. Earnings are retained to meet possible future losses.

Revenue, Expense, and Retained Earnings (in thousands of dollars)

7

-7

1965 1966 estimate estimate

-28

-2

-30

-40

416

376

-707

-4

-120

131

700 -711

-11

-9

19

-1

710

703

7

-724

-4

-131

155

-7

-7

704

-728

-24

376

376

-19

32

1965 1966 estimate estimate

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728

718

10

10

376

387

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General and special funds:

Identification code 09-25-0800-0-1-651

SAINT ELIZABETHS HOSPITAL

For expenses necessary for the maintenance and operation of the hospital, including [purchase of one passenger motor vehicle,] clothing for patients, and cooperation with organizations or individuals in the scientific research into the nature, causes, prevention, and treatment of mental illness, such amount as may be equal to the difference between the amount of the reimbursements received during the current fiscal year on account of patient care provided by the hospital during such year and [$28,330,000] $29,744,000. (24 U.S.C. 161–221; Department of Health, Education, and Welfare Appropriation Act, 1965.)

Program and Financing (in thousands of dollars)

Program by activities: Operating costs:

10

11

14

SALARIES AND EXPENSES

1. Operation and maintenance. 2. Training and education.

3. Research....

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Financing:

Advances and reimbursements from:
Administrative budget accounts.
Non-Federal
sources (see narrative

statement).

25 Unobligated balance lapsing

New obligational authority.

New obligational authority:

40 Appropriation.....

44 Proposed supplemental due to civilian pay increases.

1964 actual

26,851 637

270

27,758

-205

27,553

481

2

12

495

-77

418

27,971 -84

27.887

-1,824 -18,233 22

7,852

7,852

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Program and Financing (in thousands of dollars)-Continued

Relation of obligations to expenditures:

10 Total obligations.............

70 Receipts and other offsets (items 11-17)...

71

72

74

77

81

82

90

91

Obligations affecting expenditures....

Obligated balance, start of year.
Obligated balance, end of year..

Adjustments in expired accounts_
Balance not available, start of year.
Balance not available, end of year..

Expenditures excluding pay increase supplemental

Expenditures from civilian pay increase supplemental..

1 Selected resources as of June 30 are as follows:

1963 811 459

1964 actual

27,887

-20,057

Stores.

Unpaid undelivered orders...

7,830

1,744

-891

-51

-1

8,631

1964 adjustments

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1964 1965 1966

831 768 768 343 208 208

12

Total selected resources- - - - - 1,270 -12 1, 174 976 976

Saint Elizabeths Hospital provides treatment and care for the mentally ill who are either beneficiaries of the Federal Government or residents of the District of Columbia, the latter group representing approximately 80% of the average daily patient load. The hospital conducts training in the medical, nursing, and associated disciplines concerned with the treatment of psychiatric patients, and conducts, or cooperates in, scientific research activities dealing with mental illness.

Programs of the hospital are financed by this appropriation covering treatment and care of Federal beneficiaries and by reimbursements made to the hospital for services rendered other patient groups, principally residents of the District of Columbia. Federal appropriations to the hospital are of the indefinite type, under which the hospital receives in appropriated funds the difference between the amount of reimbursements actually received during the fiscal year and the total program costs approved by the Congress. Reimbursement rates for reimbursable patient groups other than District of Columbia residents are based on a pro-rata share of the total program costs. Charges to the District of Columbia are based on the estimated current mean cost per patient day experienced by the upper 10% of State mental hospitals a cost of $9.74 in 1965 and $10.43 in 1966. The total cost of this hospital's operation, including research and training, is estimated at $13.89 per patient day.

Increases in the 1966 appropriation are primarily the result of (a) larger stipends paid to interns and resi dents training at Saint Elizabeths, and (b) an increase in the amount of equipment that will need replacing during

1966.

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