Common use of Locations Service Requirement Clause in Contracts

Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Schedule C Part 1 Hunter New England LHD - Budget 2019/20 2019/20 BUDGET Comparative Data A B C D E F G H I Target Volume (NWAU19) Volume (Admissions & Attendances) Indicative only State Price per NWAU19 LHD/SHN Projected Average Cost per NWAU19 Initial Budget 2019/20 ($ '000) 2018/19 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2018/19 (NWAU19) A Acute Admitted 190,589 208,805 $4,925 $4,917 $932,790 $896,331 $36,459 186,734 Emergency Department 43,394 368,303 $211,925 $202,100 $9,826 42,111 Non Admitted Patients (Including Dental) 66,411 1,133,506 $324,402 $309,596 $14,806 64,509 Total 300,393 1,710,614 $1,469,118 $1,408,026 $61,091 4.3% 293,355 B Sub-Acute Services - Admitted 12,861 4,498 $4,925 $4,917 $62,770 $59,730 $3,040 12,447 Sub-Acute Services - Non Admitted 934 $4,592 $4,484 $108 934 Total 13,794 4,498 $67,361 $64,214 $3,147 4.9% 13,380 C Mental Health - Admitted (Acute and Sub-Acute) 15,881 4,512 $4,925 $4,917 $78,028 $76,008 $2,021 15,830 Mental Health - Block Funded Hospitals $31,495 $30,758 $737 Mental Health - Non Admitted 12,964 224,061 $75,334 $72,459 $2,875 12,671 Total 28,845 228,573 $184,857 $179,225 $5,633 3.1% 28,501 D Block Funding Allocation Block Funded Hospitals (Small Hospitals) $158,148 $154,445 $3,703 Block Funded Services In-Scope - Teaching, Training and Research $53,961 $52,697 $1,263 - Other Non Admitted Patient Services $6,333 $6,185 $148 Total $218,442 $213,327 $5,115 2.4% E State Only Block Funded Services Total $263,923 $257,743 $6,180 2.4% F Transition Grant $8,810 Transition Grant (excluding Mental Health) and ROCᵝ $8,810 $8,604 $206 2.4% G Gross-Up (Private Patient Service Adjustments) $50,077 $48,905 $1,173 2.4% H Provision for Specific Initiatives & TMF Adjustments (not included above) Data Improvement Project $500 Leading Better Value Care Program $350 Other Block Growth and Purchasing Adjustors -$549 Nursing enhancement $833 Psychologists for drought affected areas $125 2015 Election Commitment - Additional Nursing, Midwifery and Support positions $194 Procurement Savings -$3,952 Efficiency dividends 2019-20 -$8,447 Total -$10,946 -$10,946 I Restricted Financial Asset Expenses $21,379 $21,379 J Depreciation (General Funds only) $84,992 $84,992 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $2,358,014 $2,286,415 $71,599 3.1% L Other - Gain/Loss on disposal of assets etc $1,610 $1,610 M LHD Revenue -$2,301,266 -$2,214,993 -$86,273 N Net Result (N=K+L+M) $58,358 $73,033 -$14,675 General Note: ABF growth is funded at 77% of the State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) Part 2 2019/20 Schedule C Part 2 Hunter New England LHD $ (000's) A B C D E Government Grants Subsidy* -$1,391,189 In-Scope Services - Block Funded -$290,016 Out of Scope Services - Block Funded -$223,225 Capital Subsidy -$14,303 Crown Acceptance (Super, LSL) -$43,670 F Total Government Contribution (F=A+B+C+D+E) -$1,962,403 G H Own Source revenue GF Revenue -$313,531 Restricted Financial Asset Revenue -$25,332 I Total Own Source Revenue (I=G+H) -$338,863 J Total Revenue (J=F+I) -$2,301,266 K L M Total Expense Budget - General Funds $2,336,634 Restricted Financial Asset Expense Budget $21,379 Other Expense Budget $1,610 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $2,359,624 O Net Result (O=J+N) $58,358 P Q R Net Result Represented by: Asset Movements -$72,265 Liability Movements $13,907 Entity Transfers S Total (S=P+Q+R) -$58,358 Note: The minimum weekly cash reserve buffer for unrestricted cash at bank has been updated for FY 2019/20 to $2.0m and has been reduced by approximately 75% of the FY 2018/19 buffer as a result of the transition of creditor payments and PAYG remittance to HealthShare and HealthShare managed bank accounts from the 1st July 2019. Based on final June 2019 cash balances, adjustments will be made in July 2019 to ensure alignment with the cash buffer requirements of NSW Treasury Circular TC15_01 Cash Management – Expanding the Scope of the Treasury Banking System. The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2019/20Shared Services & Consolidated Statewide Payment Schedule Hunter New England LHD $ (000's) HS Charges HS Service Centres HS Ambulance Make Ready HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP (quarterly) $8,505 $30,693 $2,287 $112,146 $13,719 $5,978 $4,120 $18,707 $5,367 Total HSS Charges $201,521 eHealth EH Corporate IT & SPA EH Recoups $14,080 $11,034 Total eHealth Charges $25,114 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $20,866 $1,809 Total Interhospital Ambulance Charges $22,675 Interhospital NETS Charges - SCHN $540 Payroll Total Payroll $1,372,429 Loans MoH Loan Repayments Treasury Loan (SEDA) $891 Total Loans $891 Blood and Blood Products $17,654 NSW Pathology $45,174 Compacks (HSSG) $1,648 TMF Insurances (WC, MV & Property) $20,531 Creditor Payments $549,878 Energy Australia $18,376 Total $2,276,430 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's/Health Entities are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's/Health Entities and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Commencing 2019/20 two additional holdbacks have been included to reflect new statewide payment and recovery processes for Creditors and PAYG. Amendments will also be made to the subsidy sheets in 2019/20 to incorporate contributions from other sources to cover subsidy shortfalls as a result of the additional holdbacks. Part 4 2019/20 National Health Funding Body Service Agreement - Hunter New England LHD Period: 1 July 2019 - 30 June 2020 4 National Reform Agreement In- Scope Estimated National Weighted Activity Units Commonwealth Funding Contribution Schedule C Part Acute 183,527 ED 41,912 Mental Health 17,203 Sub Acute 14,600 Non Admitted 68,206 Activity Based Funding Total 325,448 Block Funding Total $136,878,157 Total 325,448 $136,878,157 Capital Program HUNTER NEW ENGLAND LHD PROJECTS MANAGED BY HEALTH SERVICE 2019/20 Capital Projects Project Code Estimated Total Cost 2019/20 Estimated Expenditure to 30 June 2019 Cost to Complete at 30 June 2019 Capital Budget Allocation 2019/20 2019/20 Capital Budget Allocation by Source of Funds Confund 2019/20 Local Funds 2019/20 Revenue 2019/20 Lease Liabilities 2019/20 $ $ $ $ $ $ $ $ WORKS IN PROGRESS Belmont Operating Theatre and CSD P56370 10,000,000 1,751,126 8,248,874 8,248,874 - 8,248,874 - - Gunnedah Xxxxxxxx Xxxxx Xxxxxxx X00000 400,000 - 400,000 400,000 400,000 - - - JHH Road Network Upgrade P56368 7,000,000 1,896,153 5,103,847 5,103,847 - 5,103,847 - - Minor Works & Equipment >$10,000 Program P51069 n.a - - 14,389,500 4,610,317 9,779,183 - - Newcastle Mater Hospital Cyclical Maintenance P54252 56,287,908 54,494,908 - 1,793,000 1,793,000 - - - Rural Health Infrastructure Program (includes Tenterfield, Scone, Gloucester, Dungog) P56406 10,000,000 2,500,000 7,500,000 7,500,000 7,500,000 - - - TOTAL WORKS IN PROGRESS 83,687,908 60,642,187 21,252,721 37,435,221 14,303,317 23,131,904 - - TOTAL CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY HUNTER NEW ENGLAND LHD 83,687,908 60,642,187 21,252,721 37,435,221 14,303,317 23,131,904 - - (Continued) PROJECTS MANAGED BY HEALTH INFRASTRUCTURE 2019/20 Capital Projects Project Code Estimated Total Cost 2019/20 Estimated Expenditure to 30 June 2019 Cost to Complete at 30 June 2019 Capital Budget Allocation 2019/20 Budget Est. 2020/21 Budget Est. 2021/22 Budget Est. 2022/23 Balance to Complete $ $ $ $ $ $ $ $ MAJOR NEW WORKS 2019/20 Xxxx Xxxxxx Health and Innovation Project P56517 780,000,000 - 780,000,000 3,500,000 15,000,000 69,631,000 160,425,000 531,444,000 TOTAL MAJOR NEW WORKS 780,000,000 - 780,000,000 3,500,000 15,000,000 69,631,000 160,425,000 531,444,000 MAJOR WORKS IN PROGRESS Muswellbrook Hospital Redevelopment Stage 2 P56043 19,975,000 19,975,001 - 366,689 - - - (366,689) Xxxx Xxxxxx NICU (Stages 2 and 3) P56160 18,000,000 14,462,179 3,537,821 2,804,443 366,688 - - 366,689 Xxxxxxx Hospital Redevelopment Stages 1 and 2 P56041 40,000,000 20,082,630 19,917,370 16,691,837 3,225,533 - - - Inverell Hospital Redevelopment P56163 60,000,000 17,339,456 42,660,544 19,833,311 20,097,233 2,730,000 - - Maitland Hospital (New) P56309 470,000,000 64,926,963 405,073,037 54,127,605 207,070,005 126,808,947 17,066,479 - TOTAL MAJOR WORKS IN PROGRESS 607,975,000 136,786,229 471,188,772 93,823,885 230,759,460 129,538,947 17,066,479 - TOTAL CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY HEALTH INFRASTRUCTURE 1,387,975,000 136,786,229 1,251,188,772 97,323,885 245,759,460 199,169,947 177,491,479 531,444,000 Notes: Expenditure needs to remain within the Capital Expenditure Authorisation Limits (CEAL) indicated above The above budgets do not include allocations for new FY20 Locally Funded Initiative (LFI) Projects or Right of Use Assets (Leases) Projects. These budgets will be issued through a separate process. Minor Works & Equipment >$10,000 Program is an annual allocation with no Total Estimated Cost Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU19 Performance Metric Activity Growth inclusive of Local Priority Issues Acute Inclusive of one additional ICU bed 2 - 190,589 See Schedule E Emergency Department 2.4 - 43,394 See Schedule E Sub-Acute Admitted 2 - 12,861 See Schedule E Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 - 2,521 See Schedule E Non-Admitted 2 / 3 - 55,015 See Schedule E Public Dental Clinical Service – Total Dental Activity (DWAU) 1 - 52,455 See Schedule E Mental Health Admitted 3.2 - 15,881 See Schedule E Mental Health Non-Admitted Inclusive of 2018/19 Mental Health Reform Program Growth 3.2 - 12,964 See Schedule E Alcohol and other drug related Admitted 1.3 - 1,013 See Schedule E Alcohol and other drug related Non Admitted 1.3 - 5,416 See Schedule E Service Investment Tele-stroke Services 2 300 - Activity of service enhancement identified Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - Children <16 Years Old 2.4 1,935 Number Number of Admissions from Surgical Waiting List – Cataract extraction 2.4 4,438 Number Growth Investment Strategic Priority $ ‘000 NWAU19 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical Care Where Patient Safety is First Leading Better Value Care Program – Implementation Support Funding 2.2 350 - Performance against LBVC Deliverables Enable eHealth, Health Information and Data Analytics Data Improvement Project Data improvement project includes $200,000 EBI program, $100,000 Data Quality, and $200,000 Intra- health Transfer to EBI central program. 6.4 500 - Established Local Governance for Xxxxxx Transition, Completion of Impact Assessment, Participation in extract test work package. Special Considerations in Baseline Investment Strategic Priority $ ‘000 NWAU19 Performance Metric Integrate Systems to Deliver Truly Connected Care Integrated Care (IC) Strategy Weight adjusted Block funding 3.1 1,597 - Adoption and implementation in 2019-20 of one scaled IC initiative (as per Ministry of Health shortlist). All patients enrolled in the Patient Flow Portal (PFP) for ongoing monitoring; PFP data will inform regular evaluation. Integrated Care for People with Chronic Conditions (ICPCC) The ICPCC purchasing model for 2019/20 converts 50% of the existing recurrent funding for ICPCC into purchased activity for each District/Network. This is shown as NWAU for each District/Network. 3.1 2,469 523 Identify patients using Risk Stratification in Patient Flow Portal (PFP), and use PFP for ongoing monitoring of patients within ICPCC. PFP data will inform evaluation. Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect (VAN) 3.5 1,364 - Participate in monitoring and evaluation activities as described in the funding agreement Provide integrated 24/7 psychosocial and Medical Forensic responses for victims of Domestic and Family Violence, Child Physical Abuse and Neglect, and Sexual Assault. Provide community development and outreach services for sexual assault

Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Schedule C Part 1 Hunter New England Nepean Blue Mountains LHD - Budget 2019/20 2019/20 2018/19 2018/19 BUDGET Comparative Data A B C D E F G H I Target Volume (NWAU19NWAU18) Volume (Admissions & Attendances) Indicative only State Price per NWAU19 NWAU18 LHD/SHN Projected Average Cost per NWAU19 NWAU18 Initial Budget 2019/20 2018/19 ($ '000) 2018/19 2017/18 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2018/19 2017/18 (NWAU19NWAU18) A Acute Admitted 190,589 208,805 85,479 83,867 $4,925 4,713 $4,917 4,622 $932,790 394,207 $896,331 376,244 $36,459 186,734 17,963 83,170 Emergency Department 43,394 368,303 16,348 130,484 $211,925 75,388 $202,100 71,880 $9,826 42,111 3,508 15,890 Non Admitted Patients (Including Dental) 66,411 1,133,506 25,717 486,780 $324,402 118,558 $309,596 109,947 $14,806 64,509 8,610 24,319 Total 300,393 1,710,614 127,545 701,130 $1,469,118 588,153 $1,408,026 558,071 $61,091 4.330,081 5.4% 293,355 123,379 B Sub-Acute Services - Admitted 12,861 4,498 9,610 3,189 $4,925 4,713 $4,917 4,622 $62,770 44,336 $59,730 42,517 $3,040 12,447 1,819 9,398 Sub-Acute Services - Non Admitted 934 631 $4,592 2,916 $4,484 2,855 $108 934 60 631 Total 13,794 4,498 10,241 3,189 $67,361 47,252 $64,214 45,372 $3,147 4.91,879 4.1% 13,380 10,028 C Mental Health - Admitted (Acute and Sub-Acute) 15,881 4,512 7,383 2,396 $4,925 4,713 $4,917 4,622 $78,028 34,057 $76,008 32,619 $2,021 15,830 1,438 7,210 Mental Health - Block Funded Hospitals $31,495 336 $30,758 329 $737 7 Mental Health - Non Admitted 12,964 224,061 4,650 106,436 $75,334 27,890 $72,459 26,668 $2,875 12,671 1,223 4,498 Mental Health - Classification Adjustment $1,437 $1,408 $30 Total 28,845 228,573 12,033 108,832 $184,857 63,721 $179,225 61,023 $5,633 3.12,698 4.4% 28,501 11,708 D Block Funding Allocation Block Funded Hospitals (Small Hospitals) $158,148 2,962 $154,445 2,901 $3,703 61 Block Funded Services In-Scope - Teaching, Training and Research $53,961 20,829 $52,697 20,397 $1,263 - Other Non Admitted Patient Services $6,333 $6,185 $148 432 Total $218,442 23,791 $213,327 23,298 $5,115 2.4493 2.1% E State Only Block Funded Services Total $263,923 61,709 $257,743 60,430 $6,180 2.41,279 2.1% F Transition Grant $8,810 Transition Grant (excluding Mental Health) and ROCᵝ $8,810 $8,604 $206 2.4% RSCᵝ G Gross-Up (Private Patient Service Adjustments) $50,077 15,409 $48,905 15,090 $1,173 2.4319 2.1% H Provision for Specific Initiatives & TMF Adjustments (not included above) Data Improvement Project * $500 750 HAC Improvement Project $350 Leading Better Value Care Program Support Transition $350 Other Block Growth and 250 Purchasing Adjustors -$549 Nursing enhancement $833 Psychologists for drought affected areas $125 2015 (incl Hospital Acquired Complications) -$973 HealthShare Accelerated Savings Program -$628 Election Commitment - Additional Nursing, Midwifery and Support positions $194 Procurement Savings -$3,952 Efficiency dividends 2019-20 -$8,447 355 Electricity escalations $577 ICT escalation (Intra Health) $1,507 New parents and children initiatives $334 Total -$10,946 -$10,946 $2,522 $2,522 I Restricted Financial Asset Expenses $21,379 2,949 $21,379 2,949 J Depreciation (General Funds only) $84,992 25,156 $84,992 25,156 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $2,358,014 830,662 $2,286,415 791,390 $71,599 3.139,272 5.0% L Other - Gain/Loss on disposal of assets etc $1,610 524 $1,610 524 M LHD Revenue -$2,301,266 -$2,214,993 -$86,273 -$813,742 -$772,343 -$41,399 N Net Result (N=K+L+M) $58,358 17,445 $73,033 -$14,675 19,572 -$2,127 General Note: ABF growth is funded at 7790% of the State Price for all “business as usual” activity and new builds or new capacity has continued to be funded at the full State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) * Data Improvement Project $250k to be allocated to Intra Health for XXX Part 2 2019/20 2018/19 Schedule C Part 2 Hunter New England Nepean Blue Mountains LHD $ (000's) A B C D E Government Grants Subsidy* -$1,391,189 -$602,387 In-Scope Services - Block Funded -$290,016 -$45,490 Out of Scope Services - Block Funded -$223,225 -$53,965 Capital Subsidy -$14,303 -$2,127 Crown Acceptance (Super, LSL) -$43,670 -$14,789 F Total Government Contribution (F=A+B+C+D+E) -$1,962,403 -$718,757 G H Own Source revenue GF Revenue -$313,531 -$87,118 Restricted Financial Asset Revenue -$25,332 -$7,867 I Total Own Source Revenue (I=G+H) -$338,863 -$94,985 J Total Revenue (J=F+I) -$2,301,266 -$813,742 K L M Total Expense Budget - General Funds $2,336,634 827,713 Restricted Financial Asset Expense Budget $21,379 2,949 Other Expense Budget $1,610 524 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $2,359,624 831,187 O Net Result (O=J+N) $58,358 17,445 P Q R Net Result Represented by: Asset Movements -$72,265 -$18,697 Liability Movements $13,907 1,252 Entity Transfers S Total (S=P+Q+R) -$58,358 -$17,445 Note: The minimum weekly cash reserve buffer for unrestricted cash at bank has been updated for FY 2019/20 2018/19 to $2.03.0m and has been reduced by remains at approximately 75% of the FY 2018/19 buffer as a result of the transition of creditor payments 4 days' cash expenses after removing Depreciation, Crown Acceptance and PAYG remittance to HealthShare and HealthShare managed bank accounts from the 1st July 2019MOH Holdbacks). Based on final June 2019 2018 cash balances, adjustments will be made in July 2019 2018 to ensure alignment with the cash buffer requirements of NSW Treasury Circular TC15_01 Cash Management – Expanding the Scope of the Treasury Banking System. The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2019/20Shared 2018/19Shared Services & Consolidated Statewide Payment Schedule Hunter New England Nepean Blue Mountains LHD $ (000's) HS Charges HS Service Centres HS Ambulance Make Ready HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS Recoups HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP (quarterly) $8,505 2,575 $30,693 8,823 $2,287 659 $112,146 14,596 $13,719 4,001 $5,978 4,008 $4,120 104 $18,707 2,437 $5,367 3,790 Total HSS Charges $201,521 40,992 eHealth EH Corporate IT & EH Information Services ICT SPA EH Recoups $14,080 2,809 $11,034 9,083 Total eHealth Charges $25,114 11,892 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $20,866 2,404 $1,809 131 Total Interhospital Ambulance Charges $22,675 2,534 Interhospital NETS Charges - SCHN $540 134 Payroll Total Payroll (including SGC, FSS, Excluding LSL & PAYG) $1,372,429 382,561 Loans MoH Loan Repayments Treasury Loan (SEDA) $891 183 Total Loans $891 183 Blood and Blood Products $17,654 4,832 NSW Pathology $45,174 20,254 Compacks (HSSG) $1,648 957 TMF Insurances (WC, MV & Property) $20,531 Creditor Payments $549,878 5,527 Energy Australia $18,376 4,694 Total $2,276,430 474,562 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's/Health Entities LHD's are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's/Health Entities LHD's and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Commencing 2019/20 two additional holdbacks have been included to reflect new statewide payment and recovery processes for Creditors and PAYG. Amendments will also be made to the subsidy sheets in 2019/20 to incorporate contributions from other sources to cover subsidy shortfalls as a result of the additional holdbacksNote: The amounts above include GST, where applicable. Part 4 2019/20 2018/19 National Health Funding Body Service Agreement - Hunter New England Nepean Blue Mountains LHD Period: 1 July 2019 2018 - 30 June 2020 4 2019 National Reform Agreement In- Scope Estimated National Weighted Activity Units Commonwealth Funding Contribution Schedule C Part 4 Acute 183,527 82,255 ED 41,912 15,774 Mental Health 17,203 8,204 Sub Acute 14,600 10,320 Non Admitted 68,206 22,890 Activity Based Funding Total 325,448 139,443 Block Funding Total $136,878,157 18,147,256 Total 325,448 139,443 $136,878,157 18,147,256 Capital Program HUNTER NEW ENGLAND NEPEAN BLUE MOUNTAINS LHD PROJECTS MANAGED BY HEALTH SERVICE 2019/20 ASSET AUTHORISATION LIMITS 2018/19 Capital Projects Project Code Estimated Total Cost 2019/20 SMRT BP2 ETC 2018/19 Estimated Expenditure to 30 June 2019 2018 Cost to Complete at 30 June 2019 Capital Budget 2018 BP2 Allocation 2019/20 2019/20 Capital Budget Allocation by Source of Funds Confund 2019/20 Local Funds 2019/20 Revenue 2019/20 Lease Liabilities 2019/20 2018/19 XX0 Xxx. 0000/00 XX0 Xxx. 2020/21 BP2 Est. 2021/22 Balance to Complete $ $ $ $ $ $ $ $ WORKS IN PROGRESS Belmont Operating Theatre and CSD P56370 10,000,000 1,751,126 8,248,874 8,248,874 - 8,248,874 - - Gunnedah Xxxxxxxx Xxxxx Xxxxxxx X00000 400,000 - 400,000 400,000 400,000 - - - JHH Road Network Upgrade P56368 7,000,000 1,896,153 5,103,847 5,103,847 - 5,103,847 - - NBMLHD Minor Works & Equipment >$10,000 Program P51069 n.a 5,374,500 0 5,374,500 5,374,500 5,374,500 5,374,500 Asset Refurbishment/Replacement Strategy - - 14,389,500 4,610,317 9,779,183 - - Newcastle Mater Hospital Cyclical Maintenance P54252 56,287,908 54,494,908 - 1,793,000 1,793,000 - - - Rural Health Infrastructure Program (includes Tenterfield, Scone, Gloucester, Dungog) P56406 10,000,000 2,500,000 7,500,000 7,500,000 7,500,000 - - - Statewide P55345 144,680 TOTAL WORKS IN PROGRESS 83,687,908 60,642,187 21,252,721 37,435,221 14,303,317 23,131,904 - - 5,374,500 0 5,374,500 5,519,180 5,374,500 5,374,500 TOTAL CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY HUNTER NEW ENGLAND LHD 83,687,908 60,642,187 21,252,721 37,435,221 14,303,317 23,131,904 - - (Continued) ASSET ACQUISITION PROGRAM 5,374,500 0 5,374,500 5,519,180 5,374,500 5,374,500 PROJECTS MANAGED BY HEALTH INFRASTRUCTURE 2019/20 Capital Projects Project Code Estimated Total Cost 2019/20 Estimated Expenditure to 30 June 2019 Cost to Complete at 30 June 2019 Capital Budget Allocation 2019/20 Budget Est. 2020/21 Budget Est. 2021/22 Budget Est. 2022/23 Balance to Complete $ $ $ $ $ $ $ $ MAJOR NEW WORKS 2019/20 Xxxx Xxxxxx Health and Innovation Project P56517 780,000,000 - 780,000,000 3,500,000 15,000,000 69,631,000 160,425,000 531,444,000 TOTAL MAJOR NEW WORKS 780,000,000 - 780,000,000 3,500,000 15,000,000 69,631,000 160,425,000 531,444,000 MAJOR WORKS IN PROGRESS Muswellbrook Nepean Hospital and Integrated Ambulatory Services Redevelopment Stage 2 P56043 19,975,000 19,975,001 - 366,689 - - - (366,689) Xxxx Xxxxxx NICU (Stages 2 and 3) P56160 18,000,000 14,462,179 3,537,821 2,804,443 366,688 - - 366,689 Xxxxxxx P56310 550,000,000 34,000,000 516,000,000 70,000,000 125,000,000 100,000,000 136,000,000 85,000,000 Nepean Hospital Redevelopment Stages 1 and 2 P56041 40,000,000 20,082,630 19,917,370 16,691,837 3,225,533 - - - Inverell Hospital Redevelopment P56163 60,000,000 17,339,456 42,660,544 19,833,311 20,097,233 2,730,000 - - Maitland Hospital (New) P56309 470,000,000 64,926,963 405,073,037 54,127,605 207,070,005 126,808,947 17,066,479 - Car Park P56290 26,000,000 2,000,000 24,000,000 24,000,000 Blue Mountains Renal Dialysis Centre P56299 4,743,000 2,743,000 2,000,000 2,000,000 TOTAL MAJOR WORKS IN PROGRESS 607,975,000 136,786,229 471,188,772 93,823,885 230,759,460 129,538,947 17,066,479 - 580,743,000 38,743,000 542,000,000 96,000,000 125,000,000 100,000,000 136,000,000 85,000,000 TOTAL CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY HEALTH INFRASTRUCTURE 1,387,975,000 136,786,229 1,251,188,772 97,323,885 245,759,460 199,169,947 177,491,479 531,444,000 580,743,000 38,743,000 542,000,000 96,000,000 125,000,000 100,000,000 136,000,000 85,000,000 Notes: Expenditure needs to remain within the Capital Expenditure Asset Authorisation Limits (CEAL) indicated above The above budgets do Minor Works and Equipment > $10,000 includes a confund contribution of $1,982,000 This does not include allocations for new FY20 and existing Locally Funded Initiative (LFI) Projects or Right of Use Assets (Leases) Projects. These budgets which will be issued through a separate process. Minor Works & Equipment >$10,000 Program is an annual allocation with no Total Estimated Cost included in Initial Capital Allocation Letters Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU19 NWAU18 Performance Metric Activity Growth inclusive of Local Priority Issues Acute Inclusive of one additional ICU bed paediatric HITH and Contract Contingency 2 - 190,589 See 85,479 As per Schedule E / Activity of New Service Identified Emergency Department 2.4 - 43,394 See 16,348 As per Schedule E Sub-Acute (Admitted and Non-Admitted) 2 - 12,861 See 9,610 As per Schedule E Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 - 2,521 See 1,318 As per Schedule E Non-Admitted Inclusive of Expanded Cancer Services as part of Redevelopment, PC&CH Rapid Access into Nursing, Gestational Diabetes Mellitus 2 / 3 - 55,015 See 23,471 As per Schedule E / Activity of New Service Identified Public Dental Clinical Service – Total Dental Activity 1 - 22,917 (DWAU) 1 - 52,455 See As per Schedule E Mental Health Admitted Inclusive of Blue Mountains Mental Health Assertive Community Treatment Team 3.2 - 15,881 See 7,383 As per Schedule E / Activity of New Service Identified Mental Health Non-Admitted Inclusive of 2018/19 3.2 - 4,650 As per Schedule E Mental Health Reform Program Growth Reforms Specialist child and adolescent community mental health services 3.2 - 12,964 See Schedule E Alcohol and other drug 50 Client-related Admitted 1.3 hours Specialist adult community mental health services 3.2 - 1,013 See Schedule E Alcohol and other drug 33 Client-related Non Admitted 1.3 hours Specialist older persons community mental health services 3.2 - 5,416 See Schedule E Service Investment Tele50 Client-stroke Services 2 300 - Activity of service enhancement identified related hours Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - Children <16 Years Old All Patients 2.4 1,935 11,352 Number Number of Admissions from Surgical Waiting List – Cataract extraction - Children < 16 Years Old 2.4 4,438 1,161 Number Growth Investment Strategic Priority $ ‘000 NWAU19 NWAU18 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical Care Where Patient Safety is First Hospital Acquired Complications (HAC) initiatives 2.1 350 - Demonstration of reduction in HAC ETP 2.4 3 - ETP Trajectory Leading Better Value Care – Program – Implementation Support Funding Transition 2.2 350 250 - Performance against LBVC Deliverables Enable eHealth, Health Information and Data Analytics Data Improvement Project Data improvement project includes $200,000 EBI program, $100,000 Data Quality, and $200,000 Intra- health Transfer to EBI central program. 6.4 500 - Established Local Governance for Xxxxxx Transition, Completion of Impact Assessment, Participation in extract test work package. Special Considerations in Baseline Investment Strategic Priority $ ‘000 NWAU19 Performance Metric Integrate Systems to Deliver Truly Connected Care Integrated Care (IC) Strategy Weight adjusted Block The Integrated Care purchasing model for 2018/19 converts 25% of the existing recurrent funding 3.1 1,597 - Adoption and implementation in 2019-20 of one scaled IC initiative (as per Ministry of Health shortlist). All patients enrolled in the Patient Flow Portal (PFP) for ongoing monitoring; PFP data will inform regular evaluation. Integrated Care for People with Chronic Conditions (ICPCC) The ICPCC purchasing model for 2019/20 converts 50% of (previously the existing recurrent funding for ICPCC Chronic Disease Management Program) into purchased activity for each DistrictLHD/NetworkSHN. This is shown as NWAU for each DistrictLHD/NetworkSHN. 3.1 2,469 523 Identify patients using Risk Stratification 872 66 Demonstration of delivery of activities outlined in the approved Activity Work Plan and meeting data collection requirements (including monitoring, evaluation, and the Patient Flow Portal Portal) Social Impact Investment – Community Based Mental Health Service Administration investment not included in Schedule C, a separate budget supplementation for this amount will be provided in July 2018 3.1 1,500 (PFP), and use PFP for ongoing monitoring service activity) 200 (administration) - Delivery of patients within ICPCC. PFP the minimum guarantee of referrals to the Resolve service Monthly submission of agreed minimum data will inform evaluation. set to Ministry of Health Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect 3.6 418 with general escalation applied for 2018/19 - Commence implementation of local VAN service redesign and recruitment of permanent clinical staff where staffing gaps have been identified Enable eHealth, Health Information and Data Analytics Data quality improvement – clinical coding / documentation 6.3 250 - Data quality improvement XXXXXX business implementation $250,000 to be allocated to Intra Health for XXX - One-off for 2018/19 6.3 500 - Complete Stage 1 LEAP and transition of at least one data stream (VANAP, ED or WL) 3.5 1,364 - Participate in monitoring as per District Program Management Plan Schedule E: Performance against Strategies and evaluation activities as described in the funding agreement Provide integrated 24/7 psychosocial and Medical Forensic responses for victims of Domestic and Family Violence, Child Physical Abuse and Neglect, and Sexual Assault. Provide community development and outreach services for sexual assaultObjectives

Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Schedule C Part 1 Hunter New England Nepean Blue Mountains LHD - Budget 2019/20 2019/20 BUDGET Comparative Data A B C D E F G H I Target Volume (NWAU19) Volume (Admissions & Attendances) Indicative only State Price per NWAU19 LHD/SHN Projected Average Cost per NWAU19 Initial Budget 2019/20 ($ '000) 2018/19 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2018/19 (NWAU19) A Acute Admitted 190,589 208,805 84,168 84,822 $4,925 $4,917 4,927 $932,790 412,920 $896,331 398,479 $36,459 186,734 14,441 82,747 Emergency Department 43,394 368,303 16,947 136,747 $211,925 82,819 $202,100 78,841 $9,826 42,111 3,978 16,377 Non Admitted Patients (Including Dental) 66,411 1,133,506 28,426 516,772 $324,402 138,062 $309,596 128,552 $14,806 64,509 9,510 26,717 Total 300,393 1,710,614 129,542 738,341 $1,469,118 633,800 $1,408,026 605,871 $61,091 4.327,929 4.6% 293,355 125,841 B Sub-Acute Services - Admitted 12,861 4,498 10,012 3,469 $4,925 $4,917 4,927 $62,770 49,030 $59,730 47,024 $3,040 12,447 2,006 9,766 Sub-Acute Services - Non Admitted 934 631 $4,592 3,107 $4,484 3,039 $108 934 68 631 Total 13,794 4,498 10,643 3,469 $67,361 52,137 $64,214 50,063 $3,147 4.92,074 4.1% 13,380 10,397 C Mental Health - Admitted (Acute and Sub-Acute) 15,881 4,512 7,633 2,307 $4,925 $4,917 4,927 $78,028 37,564 $76,008 36,647 $2,021 15,830 917 7,608 Mental Health - Block Funded Hospitals $31,495 88 $30,758 86 $737 2 Mental Health - Non Admitted 12,964 224,061 4,912 84,892 $75,334 32,377 $72,459 31,110 $2,875 12,671 1,267 4,765 Total 28,845 228,573 12,545 87,198 $184,857 70,029 $179,225 67,844 $5,633 3.12,186 3.2% 28,501 12,373 D Block Funding Allocation Block Funded Hospitals (Small Hospitals) $158,148 2,915 $154,445 2,851 $3,703 64 Block Funded Services In-Scope - Teaching, Training and Research $53,961 23,094 $52,697 22,588 $1,263 - Other Non Admitted Patient Services $6,333 $6,185 $148 506 Total $218,442 26,008 $213,327 25,438 $5,115 2.4570 2.2% E State Only Block Funded Services Total $263,923 37,929 $257,743 37,097 $6,180 2.4832 2.2% F Transition Grant Recognised Operational Cost (ROC) $8,810 288 Transition Grant (excluding Mental Health) and ROCᵝ $8,810 288 $8,604 281 $206 2.46 2.2% G Gross-Up (Private Patient Service Adjustments) $50,077 18,042 $48,905 17,647 $1,173 2.4396 2.2% H Provision for Specific Initiatives & TMF Adjustments (not included above) Data Improvement Project $500 Leading Better Value Care Program $350 Other Block Growth and Purchasing Adjustors -$549 Nursing enhancement -$1,024 WHIN regional school nurses $833 Psychologists for drought affected areas 138 Mobile dental clinics $125 2,206 2015 Election Commitment - Additional Nursing, Midwifery and Support positions $194 105 Procurement Savings -$3,952 -$1,259 Efficiency dividends 2019-20 -$8,447 -$957 Total -$10,946 -$10,946 $59 $59 I Restricted Financial Asset Expenses $21,379 2,949 $21,379 2,949 J Depreciation (General Funds only) $84,992 31,799 $84,992 31,799 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $2,358,014 873,041 $2,286,415 838,989 $71,599 3.134,051 4.1% L Other - Gain/Loss on disposal of assets etc $1,610 524 $1,610 524 M LHD Revenue -$2,301,266 -$2,214,993 -$86,273 -$848,221 -$811,857 -$36,364 N Net Result (N=K+L+M) $58,358 25,344 $73,033 -$14,675 27,657 -$2,313 General Note: ABF growth is funded at 77% of the State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) Part 2 2019/20 Schedule C Part 2 Hunter New England Nepean Blue Mountains LHD $ (000's) A B C D E Government Grants Subsidy* -$1,391,189 -$650,952 In-Scope Services - Block Funded -$290,016 -$51,306 Out of Scope Services - Block Funded -$223,225 -$33,280 Capital Subsidy -$14,303 -$1,982 Crown Acceptance (Super, LSL) -$43,670 -$14,789 F Total Government Contribution (F=A+B+C+D+E) -$1,962,403 -$752,309 G H Own Source revenue GF Revenue -$313,531 -$87,714 Restricted Financial Asset Revenue -$25,332 -$8,198 I Total Own Source Revenue (I=G+H) -$338,863 -$95,912 J Total Revenue (J=F+I) -$2,301,266 -$848,221 K L M Total Expense Budget - General Funds $2,336,634 870,091 Restricted Financial Asset Expense Budget $21,379 2,949 Other Expense Budget $1,610 524 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $2,359,624 873,565 O Net Result (O=J+N) $58,358 25,344 P Q R Net Result Represented by: Asset Movements -$72,265 -$25,133 Liability Movements $13,907 -$211 Entity Transfers S Total (S=P+Q+R) -$58,358 -$25,344 Note: The minimum weekly cash reserve buffer for unrestricted cash at bank has been updated for FY 2019/20 to $2.00.8m and has been reduced by approximately 75% of the FY 2018/19 buffer as a result of the transition of creditor payments and PAYG remittance to HealthShare and HealthShare managed bank accounts from the 1st July 2019. Based on final June 2019 cash balances, adjustments will be made in July 2019 to ensure alignment with the cash buffer requirements of NSW Treasury Circular TC15_01 Cash Management – Expanding the Scope of the Treasury Banking System. The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2019/20Shared Services & Consolidated Statewide Payment Schedule Hunter New England Nepean Blue Mountains LHD $ (000's) HS Charges HS Service Centres HS Ambulance Make Ready HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP (quarterly) $8,505 2,631 $30,693 9,271 $2,287 769 $112,146 15,024 $13,719 4,195 $5,978 106 $4,120 2,490 $18,707 $5,367 5,544 Total HSS Charges $201,521 40,029 eHealth EH Corporate IT & SPA EH Recoups $14,080 13,598 $11,034 4,100 Total eHealth Charges $25,114 17,698 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $20,866 2,629 $1,809 154 Total Interhospital Ambulance Charges $22,675 2,783 Interhospital NETS Charges - SCHN $540 154 Payroll Total Payroll $1,372,429 517,972 Loans MoH Loan Repayments Treasury Loan (SEDA) $891 Total Loans $891 Blood and Blood Products $17,654 5,103 NSW Pathology $45,174 20,228 Compacks (HSSG) $1,648 889 TMF Insurances (WC, MV & Property) $20,531 6,648 Creditor Payments $549,878 271,345 Energy Australia $18,376 4,167 Total $2,276,430 887,017 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's/Health Entities are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's/Health Entities and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Commencing 2019/20 two additional holdbacks have been included to reflect new statewide payment and recovery processes for Creditors and PAYG. Amendments will also be made to the subsidy sheets in 2019/20 to incorporate contributions from other sources to cover subsidy shortfalls as a result of the additional holdbacks. Part 4 2019/20 National Health Funding Body Service Agreement - Hunter New England Nepean Blue Mountains LHD Period: 1 July 2019 - 30 June 2020 4 National Reform Agreement In- Scope Estimated National Weighted Activity Units Commonwealth Funding Contribution Schedule C Part Acute 183,527 82,907 ED 41,912 16,490 Mental Health 17,203 8,192 Sub Acute 14,600 11,407 Non Admitted 68,206 25,998 Activity Based Funding Total 325,448 144,993 Block Funding Total $136,878,157 23,190,495 Total 325,448 144,993 $136,878,157 23,190,495 Capital Program HUNTER NEW ENGLAND NEPEAN BLUE MOUNTAINS LHD PROJECTS MANAGED BY HEALTH SERVICE 2019/20 Capital Projects Project Code Estimated Total Cost 2019/20 Estimated Expenditure to 30 June 2019 Cost to Complete at 30 June 2019 Capital Budget Allocation 2019/20 2019/20 Capital Budget Allocation by Source of Funds Confund 2019/20 Local Funds 2019/20 Revenue 2019/20 Lease Liabilities 2019/20 $ $ $ $ $ $ $ $ WORKS IN PROGRESS Belmont Operating Theatre and CSD P56370 10,000,000 1,751,126 8,248,874 8,248,874 - 8,248,874 - - Gunnedah Xxxxxxxx Xxxxx Xxxxxxx X00000 400,000 - 400,000 400,000 400,000 - - - JHH Road Network Upgrade P56368 7,000,000 1,896,153 5,103,847 5,103,847 - 5,103,847 - - Minor Works & Equipment >$10,000 Program P51069 n.a - - 14,389,500 4,610,317 9,779,183 - - Newcastle Mater Hospital Cyclical Maintenance P54252 56,287,908 54,494,908 - 1,793,000 1,793,000 - - - Rural Health Infrastructure Program (includes Tenterfield, Scone, Gloucester, Dungog) P56406 10,000,000 2,500,000 7,500,000 7,500,000 7,500,000 - 5,374,500 1,982,000 3,392,500 - - TOTAL WORKS IN PROGRESS 83,687,908 60,642,187 21,252,721 37,435,221 14,303,317 23,131,904 - - - 5,374,500 1,982,000 3,392,500 - - TOTAL CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY HUNTER NEW ENGLAND LHD 83,687,908 60,642,187 21,252,721 37,435,221 14,303,317 23,131,904 NEPEAN BLUE MOUNTAINSLHD - - (Continued) - 5,374,500 1,982,000 3,392,500 - - PROJECTS MANAGED BY HEALTH INFRASTRUCTURE 2019/20 Capital Projects Project Code Estimated Total Cost 2019/20 Estimated Expenditure to 30 June 2019 Cost to Complete at 30 June 2019 Capital Budget Allocation 2019/20 Budget Est. 2020/21 Budget Est. 2021/22 Budget Est. 2022/23 Balance to Complete $ $ $ $ $ $ $ $ MAJOR NEW WORKS 2019/20 Xxxx Xxxxxx Health and Innovation Project P56517 780,000,000 - 780,000,000 3,500,000 15,000,000 69,631,000 160,425,000 531,444,000 TOTAL MAJOR NEW WORKS 780,000,000 - 780,000,000 3,500,000 15,000,000 69,631,000 160,425,000 531,444,000 MAJOR WORKS IN PROGRESS Muswellbrook Nepean Hospital Redevelopment Stage 2 P56043 19,975,000 19,975,001 and Integrated Ambulatory Services Redevelop. P56310 550,000,000 60,022,800 489,977,200 196,187,620 207,313,683 86,475,897 - 366,689 - - - (366,689) Xxxx Xxxxxx NICU (Stages 2 and 3) P56160 18,000,000 14,462,179 3,537,821 2,804,443 366,688 - - 366,689 Xxxxxxx Hospital Redevelopment Stages 1 and 2 P56041 40,000,000 20,082,630 19,917,370 16,691,837 3,225,533 - - - Inverell Hospital Redevelopment P56163 60,000,000 17,339,456 42,660,544 19,833,311 20,097,233 2,730,000 - - Maitland Hospital (New) P56309 470,000,000 64,926,963 405,073,037 54,127,605 207,070,005 126,808,947 17,066,479 - TOTAL MAJOR WORKS IN PROGRESS 607,975,000 136,786,229 471,188,772 93,823,885 230,759,460 129,538,947 17,066,479 550,000,000 60,022,800 489,977,200 196,187,620 207,313,683 86,475,897 - - TOTAL CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY HEALTH INFRASTRUCTURE 1,387,975,000 136,786,229 1,251,188,772 97,323,885 245,759,460 199,169,947 177,491,479 531,444,000 550,000,000 60,022,800 489,977,200 196,187,620 207,313,683 86,475,897 - - Notes: Expenditure needs to remain within the Capital Expenditure Authorisation Limits (CEAL) indicated above The above budgets do not include allocations for new FY20 Locally Funded Initiative (LFI) Projects or Right of Use Assets (Leases) Projects. These budgets will be issued through a separate process. Minor Works & Equipment >$10,000 Program is an annual allocation with no Total Estimated Cost Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU19 Performance Metric Activity Growth inclusive of Local Priority Issues Acute Inclusive of one additional ICU bed 2 - 190,589 84,168 See Schedule E Emergency Department 2.4 - 43,394 16,947 See Schedule E Sub-Acute Admitted 2 - 12,861 10,012 See Schedule E Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 - 2,521 1,289 See Schedule E Non-Admitted 2 / 3 - 55,015 22,196 See Schedule E Public Dental Clinical Service – Total Dental Activity (DWAU) 1 - 52,455 23,484 See Schedule E Mental Health Admitted 3.2 - 15,881 7,633 See Schedule E Mental Health Non-Admitted Inclusive of 2018/19 Mental Health Reform Program Growth 3.2 - 12,964 4,912 See Schedule E Alcohol and other drug related Admitted 1.3 - 1,013 836 See Schedule E Alcohol and other drug related Non Admitted 1.3 - 5,416 3,076 See Schedule E Service Investment Tele-stroke Services 2 300 - Activity of service enhancement identified Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - Children <16 Years Old 2.4 1,935 1,189 Number Number of Admissions from Surgical Waiting List – Cataract extraction 2.4 4,438 625 Number Growth Investment Strategic Priority $ ‘000 NWAU19 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical Care Where Patient Safety is First Leading Better Value Care Program – Implementation Support Funding 2.2 350 - Performance against LBVC Deliverables Enable eHealth, Health Information and Data Analytics Data Improvement Project Data improvement project includes $200,000 EBI program, $100,000 Data Quality, and $200,000 Intra- health Transfer to EBI central program. 6.4 500 - Established Local Governance for Xxxxxx Transition, Completion of Impact Assessment, Participation in extract test work package. Special Considerations in Baseline Investment Strategic Priority $ ‘000 NWAU19 Performance Metric Integrate Systems to Deliver Truly Connected Care Integrated Care (IC) Strategy Weight adjusted Block funding 3.1 1,597 - Adoption and implementation in 2019-20 of one scaled IC initiative (as per Ministry of Health shortlist). All patients enrolled in the Patient Flow Portal (PFP) for ongoing monitoring; PFP data will inform regular evaluation. Integrated Care for People with Chronic Conditions (ICPCC) The ICPCC purchasing model for 2019/20 converts 50% of the existing recurrent funding for ICPCC into purchased activity for each District/Network. This is shown as NWAU for each District/Network. 3.1 2,469 523 Identify patients using Risk Stratification in Patient Flow Portal (PFP), and use PFP for ongoing monitoring of patients within ICPCC. PFP data will inform evaluation. Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect (VAN) 3.5 1,364 - Participate in monitoring and evaluation activities as described in the funding agreement Provide integrated 24/7 psychosocial and Medical Forensic responses for victims of Domestic and Family Violence, Child Physical Abuse and Neglect, and Sexual Assault. Provide community development and outreach services for sexual assaultMetric

Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Schedule C Part 1 Hunter New England Mid North Coast LHD - Budget 2019/20 2019/20 BUDGET Comparative Data A B C D E F G H I Target Volume (NWAU19) Volume (Admissions & Attendances) Indicative only State Price per NWAU19 LHD/SHN Projected Average Cost per NWAU19 Initial Budget 2019/20 ($ '000) 2018/19 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2018/19 (NWAU19) A Acute Admitted 190,589 208,805 57,462 72,490 $4,925 $4,917 4,831 $932,790 276,142 $896,331 264,379 $36,459 186,734 11,763 56,060 Emergency Department 43,394 368,303 16,248 131,356 $211,925 77,547 $202,100 72,284 $9,826 42,111 5,264 15,337 Non Admitted Patients (Including Dental) 66,411 1,133,506 19,640 405,352 $324,402 94,208 $309,596 89,556 $14,806 64,509 4,652 18,993 Total 300,393 1,710,614 93,350 609,198 $1,469,118 447,898 $1,408,026 426,218 $61,091 4.321,679 5.1% 293,355 90,390 B Sub-Acute Services - Admitted 12,861 4,498 4,355 2,361 $4,925 $4,917 4,831 $62,770 20,900 $59,730 19,909 $3,040 12,447 990 4,222 Sub-Acute Services - Non Admitted 934 848 $4,592 4,095 $4,484 3,999 $108 934 96 848 Total 13,794 4,498 5,202 2,361 $67,361 24,994 $64,214 23,909 $3,147 4.91,086 4.5% 13,380 5,070 C Mental Health - Admitted (Acute and Sub-Acute) 15,881 4,512 5,599 1,496 $4,925 $4,917 4,831 $78,028 26,842 $76,008 25,459 $2,021 15,830 Mental Health - Block Funded Hospitals $31,495 $30,758 $737 1,382 5,400 Mental Health - Non Admitted 12,964 224,061 2,849 49,242 $75,334 14,084 $72,459 13,228 $2,875 12,671 856 2,710 Total 28,845 228,573 8,448 50,738 $184,857 40,926 $179,225 38,688 $5,633 3.12,238 5.8% 28,501 8,110 D Block Funding Allocation Block Funded Hospitals (Small Hospitals) $158,148 33,360 $154,445 32,582 $3,703 779 Block Funded Services In-Scope - Teaching, Training and Research $53,961 12,897 $52,697 12,596 $1,263 - Other Non Admitted Patient Services $6,333 $6,185 $148 301 Total $218,442 46,257 $213,327 45,178 $5,115 1,080 2.4% E State Only Block Funded Services Total $263,923 67,083 $257,743 65,517 $6,180 1,566 2.4% F Transition Grant $8,810 6,353 Transition Grant (excluding Mental Health) and ROCᵝ $8,810 6,353 $8,604 6,205 $206 148 2.4% G Gross-Up (Private Patient Service Adjustments) $50,077 11,874 $48,905 11,597 $1,173 277 2.4% H Provision for Specific Initiatives & TMF Adjustments (not included above) Bowraville GP & Integrated Care Service $600 Port Macquarie Hospital Redevelopment $750 Data Improvement Project $500 Leading Better Value Care Program $350 Other Block Growth and Purchasing Adjustors -$549 -$424 Nursing enhancement $833 Psychologists for drought affected areas 521 Mobile dental clinics $125 1,889 2015 Election Commitment - Additional Nursing, Midwifery and Support positions $194 164 Procurement Savings -$3,952 -$1,781 Efficiency dividends 2019-20 -$8,447 -$92 Total -$10,946 -$10,946 $2,476 $2,476 I Restricted Financial Asset Expenses $21,379 967 $21,379 967 J Depreciation (General Funds only) $84,992 24,286 $84,992 24,286 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $2,358,014 673,113 $2,286,415 642,563 $71,599 3.130,549 4.8% L Other - Gain/Loss on disposal of assets etc $1,610 594 $1,610 594 M LHD Revenue -$2,301,266 -$2,214,993 -$86,273 -$661,029 -$626,253 -$34,776 N Net Result (N=K+L+M) $58,358 12,678 $73,033 -$14,675 16,904 -$4,226 General Note: ABF growth is funded at 77% of the State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) Part 2 2019/20 Schedule C Part 2 Hunter New England Mid North Coast LHD $ (000's) A B C D E Government Grants Subsidy* -$1,391,189 -$442,787 In-Scope Services - Block Funded -$290,016 -$63,704 Out of Scope Services - Block Funded -$223,225 -$58,502 Capital Subsidy -$14,303 -$4,085 Crown Acceptance (Super, LSL) -$43,670 -$8,629 F Total Government Contribution (F=A+B+C+D+E) -$1,962,403 -$577,708 G H Own Source revenue GF Revenue -$313,531 -$74,924 Restricted Financial Asset Revenue -$25,332 -$8,397 I Total Own Source Revenue (I=G+H) -$338,863 -$83,321 J Total Revenue (J=F+I) -$2,301,266 -$661,029 K L M Total Expense Budget - General Funds $2,336,634 672,146 Restricted Financial Asset Expense Budget $21,379 967 Other Expense Budget $1,610 594 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $2,359,624 673,706 O Net Result (O=J+N) $58,358 12,678 P Q R Net Result Represented by: Asset Movements -$72,265 -$12,771 Liability Movements $13,907 93 Entity Transfers S Total (S=P+Q+R) -$58,358 -$12,678 Note: The minimum weekly cash reserve buffer for unrestricted cash at bank has been updated for FY 2019/20 to $2.00.6m and has been reduced by approximately 75% of the FY 2018/19 buffer as a result of the transition of creditor payments and PAYG remittance to HealthShare and HealthShare managed bank accounts from the 1st July 2019. Based on final June 2019 cash balances, adjustments will be made in July 2019 to ensure alignment with the cash buffer requirements of NSW Treasury Circular TC15_01 Cash Management – Expanding the Scope of the Treasury Banking System. The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2019/20Shared Services & Consolidated Statewide Payment Schedule Hunter New England Mid North Coast LHD $ (000's) HS Charges HS Service Centres HS Ambulance Make Ready HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP (quarterly) $8,505 2,419 $30,693 8,765 $2,287 1,125 $112,146 13,074 $13,719 3,761 $5,978 2,933 $4,120 2,131 $18,707 1,821 $5,367 983 Total HSS Charges $201,521 37,012 eHealth EH Corporate IT & SPA EH Recoups $14,080 9,187 $11,034 3,110 Total eHealth Charges $25,114 12,297 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $20,866 6,517 $1,809 408 Total Interhospital Ambulance Charges $22,675 6,925 Interhospital NETS Charges - SCHN $540 75 Payroll Total Payroll $1,372,429 384,502 Loans MoH Loan Repayments Treasury Loan (SEDA) $891 1,043 Total Loans $891 1,043 Blood and Blood Products $17,654 4,075 NSW Pathology $45,174 10,125 Compacks (HSSG) $1,648 2,015 TMF Insurances (WC, MV & Property) $20,531 7,283 Creditor Payments $549,878 212,104 Energy Australia $18,376 4,292 Total $2,276,430 681,748 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's/Health Entities are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's/Health Entities and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Commencing 2019/20 two additional holdbacks have been included to reflect new statewide payment and recovery processes for Creditors and PAYG. Amendments will also be made to the subsidy sheets in 2019/20 to incorporate contributions from other sources to cover subsidy shortfalls as a result of the additional holdbacks. Part 4 2019/20 National Health Funding Body Service Agreement - Hunter New England Mid North Coast LHD Period: 1 July 2019 - 30 June 2020 4 National Reform Agreement In- Scope Estimated National Weighted Activity Units Commonwealth Funding Contribution Schedule C Part Acute 183,527 55,829 ED 41,912 15,686 Mental Health 17,203 6,101 Sub Acute 14,600 4,812 Non Admitted 68,206 18,951 Activity Based Funding Total 325,448 101,378 Block Funding Total $136,878,157 21,724,305 Total 325,448 101,378 $136,878,157 21,724,305 Capital Program HUNTER NEW ENGLAND MID NORTH COAST LHD PROJECTS MANAGED BY HEALTH SERVICE 2019/20 Capital Projects Project Code Estimated Total Cost 2019/20 Estimated Expenditure to 30 June 2019 Cost to Complete at 30 June 2019 Capital Budget Allocation 2019/20 2019/20 Capital Budget Allocation by Source of Funds Confund 2019/20 Local Funds 2019/20 Revenue 2019/20 Lease Liabilities 2019/20 $ $ $ $ $ $ $ $ WORKS IN PROGRESS Belmont Operating Theatre and CSD P56370 10,000,000 1,751,126 8,248,874 8,248,874 Asset Refurbishment/Replacement Strategy - 8,248,874 - - Gunnedah Xxxxxxxx Xxxxx Xxxxxxx X00000 400,000 - 400,000 400,000 400,000 Statewide P55345 21,136,825 18,906,662 2,230,163 822,000 822,000 - - - JHH Road Network Bellingen River District Hospital – General Xxxx (Xxxxxxx House) Renovation andUpgrade P56428 496,204 30,000 466,204 466,204 466,204 - - - Xxxxxxxxx River District Hospital Car park Upgrade P56368 7,000,000 1,896,153 5,103,847 5,103,847 and Extension P56429 500,000 50,000 450,000 450,000 450,000 - 5,103,847 - - Coffs Harbour Cone Beam Computed Tomography (CBCT) Imagine Machine P56508 180,000 30,000 150,000 150,000 150,000 - - - Coffs Harbour Linac Replacement P56444 4,532,457 2,530,269 2,002,188 2,002,188 - 2,002,188 - - Kempsey Hospital Maternity/Birthing Suite Remodelling P56430 326,554 10,000 316,554 316,554 316,554 - - - Minor Works & Equipment >$10,000 Program P51069 n.a - - 14,389,500 4,610,317 9,779,183 3,262,500 1,423,000 1,839,500 - - Newcastle Mater Hospital Cyclical Maintenance P54252 56,287,908 54,494,908 - 1,793,000 1,793,000 Port Macquarie Base Hospital- Aboriginal Cultural & Family Wellbeing Centre(MNCLHD) P56458 487,217 30,000 457,217 457,217 457,217 - - - Rural Health Infrastructure Program (includes Tenterfield, Scone, Gloucester, Dungog) P56406 10,000,000 2,500,000 7,500,000 7,500,000 7,500,000 Port Macquarie Linac Replacement P56445 2,967,544 1,191,731 1,775,813 1,775,813 - 1,775,813 - - TOTAL WORKS IN PROGRESS 83,687,908 60,642,187 21,252,721 37,435,221 14,303,317 23,131,904 30,626,801 22,778,662 7,848,139 9,702,476 4,084,975 5,617,501 - - TOTAL CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY HUNTER NEW ENGLAND MID NORTH COAST LHD 83,687,908 60,642,187 21,252,721 37,435,221 14,303,317 23,131,904 30,626,801 22,778,662 7,848,139 9,702,476 4,084,975 5,617,501 - - (Continued) PROJECTS MANAGED BY HEALTH INFRASTRUCTURE 2019/20 Capital Projects Project Code Estimated Total Cost 2019/20 Estimated Expenditure to 30 June 2019 Cost to Complete at 30 June 2019 Capital Budget Allocation 2019/20 Budget Est. 2020/21 Budget Est. 2021/22 Budget Est. 2022/23 Balance to Complete $ $ $ $ $ $ $ $ MAJOR NEW WORKS 2019/20 Xxxx Xxxxxx Health and Innovation Project P56517 780,000,000 - 780,000,000 3,500,000 15,000,000 69,631,000 160,425,000 531,444,000 TOTAL MAJOR NEW WORKS 780,000,000 - 780,000,000 3,500,000 15,000,000 69,631,000 160,425,000 531,444,000 MAJOR WORKS IN PROGRESS Muswellbrook Port Macquarie Mental Health Expansion - Planning P56064 17,008,000 16,827,738 180,262 180,261 - - - - Macksville Hospital Redevelopment Stage 2 P56043 19,975,000 19,975,001 - 366,689 P56040 73,000,000 19,540,309 53,459,691 41,739,347 6,403,853 5,316,491 - - - (366,689) Xxxx Xxxxxx NICU (Stages 2 and 3) P56160 18,000,000 14,462,179 3,537,821 2,804,443 366,688 Coffs Harbour Hospital Expansion P56166 194,000,000 25,957,363 168,042,637 52,713,271 94,247,216 21,082,150 - - 366,689 Xxxxxxx Port Macquarie Hospital Redevelopment Stages 1 and 2 P56041 40,000,000 20,082,630 19,917,370 16,691,837 3,225,533 Car Park P56404 11,500,000 4,698,190 6,801,810 6,105,323 696,500 - - - Inverell Hospital Redevelopment P56163 60,000,000 17,339,456 42,660,544 19,833,311 20,097,233 2,730,000 - - Maitland Hospital (New) P56309 470,000,000 64,926,963 405,073,037 54,127,605 207,070,005 126,808,947 17,066,479 - TOTAL MAJOR WORKS IN PROGRESS 607,975,000 136,786,229 471,188,772 93,823,885 230,759,460 129,538,947 17,066,479 295,508,000 67,023,601 228,484,399 100,738,202 101,347,568 26,398,641 - - TOTAL CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY HEALTH INFRASTRUCTURE 1,387,975,000 136,786,229 1,251,188,772 97,323,885 245,759,460 199,169,947 177,491,479 531,444,000 295,508,000 67,023,601 228,484,399 100,738,202 101,347,568 26,398,641 - - Notes: Expenditure needs to remain within the Capital Expenditure Authorisation Limits (CEAL) indicated above The above budgets do not include allocations for new FY20 Locally Funded Initiative (LFI) Projects or Right of Use Assets (Leases) Projects. These budgets will be issued through a separate process. Minor Works & Equipment >$10,000 Program is an annual allocation with no Total Estimated Cost Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU19 Performance Metric Activity Growth inclusive of Local Priority Issues Acute Inclusive of one additional ICU bed 2 - 190,589 57,462 See Schedule E Emergency Department 2.4 - 43,394 16,248 See Schedule E Sub-Acute Admitted 2 - 12,861 4,355 See Schedule E Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 - 2,521 981 See Schedule E Non-Admitted 2 / 3 - 55,015 16,651 See Schedule E Public Dental Clinical Service – Total Dental Activity (DWAU) 1 - 52,455 15,316 See Schedule E Mental Health Admitted 3.2 - 15,881 5,599 See Schedule E Mental Health Non-Admitted Inclusive of 2018/19 Mental Health Reform Program Growth 3.2 - 12,964 2,849 See Schedule E Alcohol and other drug related Admitted 1.3 - 1,013 137 See Schedule E Alcohol and other drug related Non Admitted 1.3 - 5,416 1,777 See Schedule E Service Investment Tele-stroke Services Bowraville GP & Integrated Care 2 300 600 - Activity of service enhancement identified Port Macquarie redevelopment 2 750 - Activity of service enhancement identified Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - Children <16 Years Old 2.4 1,935 588 Number Number of Admissions from Surgical Waiting List – Cataract extraction 2.4 4,438 1,900 Number Growth Investment Strategic Priority $ ‘000 NWAU19 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical Care Where Patient Safety is First Leading Better Value Care Program – Implementation Support Funding 2.2 350 - Performance against LBVC Deliverables Enable eHealth, Health Information and Data Analytics Data Improvement Project Data improvement project includes $200,000 EBI program, $100,000 Data Quality, and $200,000 Intra- health Transfer to EBI central program. 6.4 500 - Established Local Governance for Xxxxxx Transition, Completion of Impact Assessment, Participation in extract test work package. Special Considerations in Baseline Investment Strategic Priority $ ‘000 NWAU19 Performance Metric Integrate Systems to Deliver Truly Connected Care Integrated Care (IC) Strategy Weight adjusted Block funding 3.1 1,597 533 - Adoption and implementation in 2019-20 of one scaled IC initiative (as per Ministry of Health shortlist). All patients enrolled in the Patient Flow Portal (PFP) for ongoing monitoring; PFP data will inform regular evaluation. Integrated Care for People with Chronic Conditions (ICPCC) The ICPCC purchasing model for 2019/20 converts 50% of the existing recurrent funding for ICPCC into purchased activity for each District/Network. This is shown as NWAU for each District/Network. 3.1 2,469 523 Identify patients using Risk Stratification in Patient Flow Portal (PFP), and use PFP for ongoing monitoring of patients within ICPCC. PFP data will inform evaluation. Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect (VAN) 3.5 1,364 - Participate in monitoring and evaluation activities as described in the funding agreement Provide integrated 24/7 psychosocial and Medical Forensic responses for victims of Domestic and Family Violence, Child Physical Abuse and Neglect, and Sexual Assault. Provide community development and outreach services for sexual assault.

Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Schedule C Part 1 Hunter New England LHD - Budget 2019/20 2019/20 2018/19 2018/19 BUDGET Comparative Data A B C D E F G H I Target Volume (NWAU19NWAU18) Volume (Admissions & Attendances) Indicative only State Price per NWAU19 NWAU18 LHD/SHN Projected Average Cost per NWAU19 NWAU18 Initial Budget 2019/20 2018/19 ($ '000) 2018/19 2017/18 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2018/19 2017/18 (NWAU19NWAU18) A Acute Admitted 190,589 208,805 189,578 204,360 $4,925 4,713 $4,917 4,738 $932,790 891,361 $896,331 853,009 $36,459 186,734 38,352 184,998 Emergency Department 43,394 368,303 40,822 340,649 $211,925 191,913 $202,100 183,507 $9,826 42,111 8,406 39,799 Non Admitted Patients (Including Dental) 66,411 1,133,506 65,291 1,115,515 $324,402 306,997 $309,596 294,031 $14,806 64,509 12,967 63,767 Total 300,393 1,710,614 295,691 1,660,525 $1,469,118 1,390,272 $1,408,026 1,330,547 $61,091 4.359,725 4.5% 293,355 288,564 B Sub-Acute Services - Admitted 12,861 4,498 11,922 3,974 $4,925 4,713 $4,917 4,738 $62,770 56,025 $59,730 53,388 $3,040 12,447 2,638 11,580 Sub-Acute Services - Non Admitted 934 $4,592 4,401 $4,484 4,308 $108 93 934 Total 13,794 4,498 12,855 3,974 $67,361 60,427 $64,214 57,696 $3,147 4.92,731 4.7% 13,380 12,513 C Mental Health - Admitted (Acute and Sub-Acute) 15,881 4,512 15,430 4,645 $4,925 4,713 $4,917 4,738 $78,028 72,723 $76,008 71,182 $2,021 15,830 1,541 15,430 Mental Health - Block Funded Hospitals $31,495 29,828 $30,758 29,196 $737 632 Mental Health - Non Admitted 12,964 224,061 12,671 304,291 $75,334 71,126 $72,459 66,393 $2,875 12,671 4,733 11,911 Mental Health - Classification Adjustment $2,371 $2,320 $50 Total 28,845 228,573 28,102 308,936 $184,857 176,048 $179,225 169,092 $5,633 3.16,957 4.1% 28,501 27,341 D Block Funding Allocation Block Funded Hospitals (Small Hospitals) $158,148 194,940 $154,445 190,810 $3,703 4,130 Block Funded Services In-Scope - Teaching, Training and Research $53,961 45,227 $52,697 44,269 $1,263 958 - Other Non Admitted Patient Services $6,333 5,608 $6,185 5,489 $148 119 Total $218,442 245,775 $213,327 240,568 $5,115 2.45,207 2.2% E State Only Block Funded Services Total $263,923 238,255 $257,743 233,207 $6,180 2.45,048 2.2% F Transition Grant $8,810 8,914 Transition Grant (excluding Mental Health) and ROCᵝ RSCᵝ $8,810 8,914 $8,604 8,725 $206 2.4189 2.2% G Gross-Up (Private Patient Service Adjustments) $50,077 50,274 $48,905 49,208 $1,173 2.41,065 2.2% H Provision for Specific Initiatives & TMF Adjustments (not included above) Data Improvement Project * $500 750 HAC Improvement Project $350 Leading Better Value Care Program Support Transition $350 Other Block Growth and 250 Purchasing Adjustors -$549 Nursing enhancement $833 Psychologists for drought affected areas $125 2015 (incl Hospital Acquired Complications) -$433 HealthShare Accelerated Savings Program -$1,176 Election Commitment - Additional Nursing, Midwifery and Support positions $194 Procurement Savings -$3,952 Efficiency dividends 2019-20 -$8,447 725 Electricity escalations $2,122 ICT escalation (Intra Health) $2,378 New parents and children initiatives $551 Total -$10,946 -$10,946 $5,517 $5,517 I Restricted Financial Asset Expenses $21,379 $21,379 J Depreciation (General Funds only) $84,992 81,148 $84,992 81,148 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $2,358,014 2,278,009 $2,286,415 2,191,570 $71,599 3.186,439 3.9% L Other - Gain/Loss on disposal of assets etc $1,610 $1,610 M LHD Revenue -$2,301,266 -$2,214,993 -$86,273 -$2,214,029 -$2,116,806 -$97,224 N Net Result (N=K+L+M) $58,358 65,590 $73,033 -$14,675 76,375 -$10,785 General Note: ABF growth is funded at 7790% of the State Price for all “business as usual” activity and new builds or new capacity has continued to be funded at the full State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) * Data Improvement Project $250k to be allocated to Intra Health for XXX Part 2 2019/20 2018/19 Schedule C Part 2 Hunter New England LHD $ (000's) A B C D E Government Grants Subsidy* -$1,391,189 -$1,338,872 In-Scope Services - Block Funded -$290,016 -$292,903 Out of Scope Services - Block Funded -$223,225 -$200,688 Capital Subsidy -$14,303 -$10,310 Crown Acceptance (Super, LSL) -$43,670 F Total Government Contribution (F=A+B+C+D+E) -$1,962,403 -$1,886,443 G H Own Source revenue GF Revenue -$313,531 -$303,428 Restricted Financial Asset Revenue -$25,332 -$24,158 I Total Own Source Revenue (I=G+H) -$338,863 -$327,586 J Total Revenue (J=F+I) -$2,301,266 -$2,214,029 K L M Total Expense Budget - General Funds $2,336,634 2,256,629 Restricted Financial Asset Expense Budget $21,379 Other Expense Budget $1,610 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $2,359,624 2,279,619 O Net Result (O=J+N) $58,358 65,590 P Q R Net Result Represented by: Asset Movements -$72,265 -$101,021 Liability Movements $13,907 35,432 Entity Transfers S Total (S=P+Q+R) -$58,358 -$65,590 Note: The minimum weekly cash reserve buffer for unrestricted cash at bank has been updated for FY 2019/20 2018/19 to $2.07.8m and has been reduced by remains at approximately 75% of the FY 2018/19 buffer as a result of the transition of creditor payments 4 days' cash expenses after removing Depreciation, Crown Acceptance and PAYG remittance to HealthShare and HealthShare managed bank accounts from the 1st July 2019MOH Holdbacks). Based on final June 2019 2018 cash balances, adjustments will be made in July 2019 2018 to ensure alignment with the cash buffer requirements of NSW Treasury Circular TC15_01 Cash Management – Expanding the Scope of the Treasury Banking System. The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2019/20Shared 2018/19Shared Services & Consolidated Statewide Payment Schedule Hunter New England LHD $ (000's) HS Charges HS Service Centres HS Ambulance Make Ready HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS Recoups HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP (quarterly) $8,505 8,326 $30,693 30,226 $2,287 2,936 $112,146 107,430 $13,719 13,690 $5,978 10,778 $4,120 5,849 $18,707 4,031 $5,367 11,719 $5,252 Total HSS Charges $201,521 200,237 eHealth EH Corporate IT & EH Information Services ICT SPA EH Recoups $14,080 5,538 $11,034 5,847 Total eHealth Charges $25,114 11,385 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $20,866 19,318 $1,809 1,543 Total Interhospital Ambulance Charges $22,675 20,861 Interhospital NETS Charges - SCHN $540 495 Payroll Total Payroll (including SGC, FSS, Excluding LSL & PAYG) $1,372,429 1,017,654 Loans MoH Loan Repayments Treasury Loan (SEDA) $891 964 Total Loans $891 964 Blood and Blood Products $17,654 17,230 NSW Pathology $45,174 41,504 Compacks (HSSG) $1,648 1,774 TMF Insurances (WC, MV & Property) $20,531 Creditor Payments $549,878 16,173 Energy Australia $18,376 17,034 Total $2,276,430 1,345,311 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's/Health Entities LHD's are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's/Health Entities LHD's and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years procedures, a mid year review will occur in January with further adjustments made if required. Commencing 2019/20 two additional holdbacks have been included to reflect new statewide payment and recovery processes for Creditors and PAYG. Amendments will also be made to the subsidy sheets in 2019/20 to incorporate contributions from other sources to cover subsidy shortfalls as a result of the additional holdbacksNote: The amounts above include GST, where applicable. Part 4 2019/20 2018/19 National Health Funding Body Service Agreement - Hunter New England LHD Period: 1 July 2019 2018 - 30 June 2020 4 2019 National Reform Agreement In- Scope Estimated National Weighted Activity Units Commonwealth Funding Contribution Schedule C Part 4 Acute 183,527 178,788 ED 41,912 38,968 Mental Health 17,203 16,055 Sub Acute 14,600 13,201 Non Admitted 68,206 66,794 Activity Based Funding Total 325,448 313,805 Block Funding Total $136,878,157 127,109,536 Total 325,448 313,805 $136,878,157 127,109,536 Capital Program HUNTER NEW ENGLAND LHD PROJECTS MANAGED BY HEALTH SERVICE 2019/20 ASSET AUTHORISATION LIMITS 2018/19 Capital Projects Project Code Estimated Total Cost 2019/20 SMRT BP2 ETC 2018/19 Estimated Expenditure to 30 June 2019 2018 Cost to Complete at 30 June 2019 Capital Budget 2018 BP2 Allocation 2019/20 2019/20 Capital Budget Allocation by Source of Funds Confund 2019/20 Local Funds 2019/20 Revenue 2019/20 Lease Liabilities 2019/20 2018/19 XX0 Xxx. 0000/00 XX0 Xxx. 2020/21 BP2 Est. 2021/22 Balance to Complete $ $ $ $ $ $ $ $ WORKS IN PROGRESS Belmont Operating Theatre and CSD P56370 10,000,000 1,751,126 8,248,874 8,248,874 - 8,248,874 - - Gunnedah Xxxxxxxx Xxxxx Xxxxxxx X00000 400,000 - 400,000 400,000 400,000 - - - JHH Road Network Upgrade P56368 7,000,000 1,896,153 5,103,847 5,103,847 - 5,103,847 - - HNELHD Minor Works & Equipment >$10,000 Program P51069 n.a 14,389,500 0 14,389,500 14,389,500 14,389,500 14,389,500 PFP Cyclical Maintenance: Xxxxxxxxx Xxxxx X00000 56,287,908 22,027,908 34,260,000 2,460,000 1,793,000 13,061,000 1,826,000 15,120,000 Asset Refurbishment/Replacement Strategy - - 14,389,500 4,610,317 9,779,183 - - Newcastle Mater Hospital Cyclical Maintenance P54252 56,287,908 54,494,908 - 1,793,000 1,793,000 - - - Rural Health Infrastructure Program Statewide P55345 0 1,990,000 Paediatric Amenity Upgrade (includes Tenterfield, Scone, Gloucester, DungogArmidale/Xxxxxxx) P56406 10,000,000 2,500,000 7,500,000 7,500,000 7,500,000 - - - P56414 500,000 500,000 500,000 TOTAL WORKS IN PROGRESS 83,687,908 60,642,187 21,252,721 37,435,221 14,303,317 23,131,904 - - 71,177,408 22,027,908 49,149,500 19,339,500 16,182,500 27,450,500 1,826,000 15,120,000 TOTAL CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY HUNTER NEW ENGLAND LHD 83,687,908 60,642,187 21,252,721 37,435,221 14,303,317 23,131,904 - - (Continued) ASSET ACQUISITION PROGRAM 71,177,408 22,027,908 49,149,500 19,339,500 16,182,500 27,450,500 1,826,000 15,120,000 PROJECTS MANAGED BY HEALTH INFRASTRUCTURE 2019/20 Capital Projects Project Code Estimated Total Cost 2019/20 Estimated Expenditure to 30 June 2019 Cost to Complete at 30 June 2019 Capital Budget Allocation 2019/20 Budget Est. 2020/21 Budget Est. 2021/22 Budget Est. 2022/23 Balance to Complete $ $ $ $ $ $ $ $ MAJOR NEW WORKS 2019/20 Xxxx Xxxxxx Health and Innovation Project P56517 780,000,000 - 780,000,000 3,500,000 15,000,000 69,631,000 160,425,000 531,444,000 TOTAL MAJOR NEW WORKS 780,000,000 - 780,000,000 3,500,000 15,000,000 69,631,000 160,425,000 531,444,000 MAJOR WORKS IN PROGRESS Muswellbrook Xxxxxxx Hospital Redevelopment Stage Stages 1 and 2 P56043 19,975,000 19,975,001 - 366,689 - - - (366,689) P56041 40,000,000 15,762,568 24,237,432 9,092,418 10,145,014 5,000,000 Inverell Hospital Redevelopment P56163 60,000,000 5,000,000 55,000,000 21,000,000 28,000,000 6,000,000 Xxxx Xxxxxx NICU (Stages 2 and 3) P56160 18,000,000 14,462,179 3,537,821 2,804,443 366,688 15,935,405 2,064,595 40,333 2,024,262 Oral Health MW - - 366,689 Xxxxxxx Hospital Redevelopment Stages 1 and Muswellbrook Hosp Redevelop Stage 2 P56041 40,000,000 20,082,630 19,917,370 16,691,837 3,225,533 - - - Inverell Hospital Redevelopment P56163 60,000,000 17,339,456 42,660,544 19,833,311 20,097,233 2,730,000 - - – Oral Health Centre P56262 1,500,000 750,000 750,000 750,000 Maitland Hospital (New) P56309 470,000,000 64,926,963 405,073,037 54,127,605 207,070,005 126,808,947 17,066,479 - 24,454,232 445,545,768 23,545,768 68,140,000 69,000,000 111,338,000 173,522,000 Muswellbrook Hospital Redevelopment Stage 2 P56043 19,975,000 15,160,529 4,814,471 3,520,045 1,294,427 TOTAL MAJOR WORKS IN PROGRESS 607,975,000 136,786,229 471,188,772 93,823,885 230,759,460 129,538,947 17,066,479 - 609,475,000 77,062,734 532,412,266 57,948,563 109,603,703 80,000,000 111,338,000 173,522,000 TOTAL CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY HEALTH INFRASTRUCTURE 1,387,975,000 136,786,229 1,251,188,772 97,323,885 245,759,460 199,169,947 177,491,479 531,444,000 609,475,000 77,062,734 532,412,266 57,948,563 109,603,703 80,000,000 111,338,000 173,522,000 Notes: Expenditure needs to remain within the Capital Expenditure Asset Authorisation Limits (CEAL) indicated above The above budgets do Minor Works and Equipment > $10,000 includes a confund contribution of $4,610,317 This does not include allocations for new FY20 and existing Locally Funded Initiative (LFI) Projects or Right of Use Assets (Leases) Projects. These budgets which will be issued through a separate process. Minor Works & Equipment >$10,000 Program is an annual allocation with no Total Estimated Cost included in Initial Capital Allocation Letters Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU19 NWAU18 Performance Metric Activity Growth inclusive of Local Priority Issues Acute Inclusive of one additional Paediatric Chronic Care – Gastroenterology, Cataract Surgery – Xxxxxxx Hospital, Statewide Level 6 ICU bed – Xxxx Xxxxxx Hospital 2 - 190,589 See 189,578 As per Schedule E / Activity of New Service Identified Emergency Department 2.4 - 43,394 See 40,822 As per Schedule E Sub-Acute (Admitted and Non-Admitted) 2 - 12,861 See 11,922 As per Schedule E Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 - 2,521 See 2,595 As per Schedule E Non-Admitted Inclusive of Paediatric Chronic Care - Diabetes 2 / 3 - 55,015 See 59,950 As per Schedule E / Activity of New Service Identified Public Dental Clinical Service – Total Dental Activity 1 - 49,977 (DWAU) 1 - 52,455 See As per Schedule E Mental Health Admitted 3.2 - 15,881 See 15,430 As per Schedule E Mental Health Non-Admitted Inclusive of 2018/19 Mental Health Reform Program Growth Acute Care Team - Tamworth 3.2 - 12,964 See 12,671 As per Schedule E Alcohol and other drug related Admitted 1.3 - 1,013 See Schedule E Alcohol and other drug related Non Admitted 1.3 - 5,416 See Schedule E Service Investment Tele-stroke Services 2 300 - / Activity of service enhancement identified New Service Identified Mental Health Reforms Specialist child and adolescent community mental health services 3.2 - 267 Client-related hours Specialist adult community mental health services 3.2 - 114 Client-related hours Specialist older persons community mental health services 3.2 - 267 Client-related hours Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - Children <16 Years Old All Patients 2.4 1,935 29,896 Number Number of Admissions from Surgical Waiting List – Cataract extraction - Children < 16 Years Old 2.4 4,438 1,899 Number Growth Investment Strategic Priority $ ‘000 NWAU19 NWAU18 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical Care Where Patient Safety is First Hospital Acquired Complications (HAC) initiatives 2.1 350 - Demonstration of reduction in HAC ETP 2.4 132 - ETP Trajectory Leading Better Value Care – Program – Implementation Support Funding Transition 2.2 350 250 - Performance against LBVC Deliverables Enable eHealth, Health Information and Data Analytics Data Improvement Project Data improvement project includes $200,000 EBI program, $100,000 Data Quality, and $200,000 Intra- health Transfer to EBI central program. 6.4 500 - Established Local Governance for Xxxxxx Transition, Completion of Impact Assessment, Participation in extract test work package. Special Considerations in Baseline Investment Strategic Priority $ ‘000 NWAU19 Performance Metric Integrate Systems to Deliver Truly Connected Care Integrated Care (IC) Strategy Weight adjusted Block The Integrated Care purchasing model for 2018/19 converts 25% of the existing recurrent funding 3.1 1,597 - Adoption and implementation in 2019-20 of one scaled IC initiative (as per Ministry of Health shortlist). All patients enrolled in the Patient Flow Portal (PFP) for ongoing monitoring; PFP data will inform regular evaluation. Integrated Care for People with Chronic Conditions (ICPCC) The ICPCC purchasing model for 2019/20 converts 50% of (previously the existing recurrent funding for ICPCC Chronic Disease Management Program) into purchased activity for each DistrictLHD/NetworkSHN. This is shown as NWAU for each DistrictLHD/NetworkSHN. 3.1 2,469 523 Identify patients using Risk Stratification 1,558 257 Demonstration of delivery of activities outlined in the approved Activity Work Plan and meeting data collection requirements (including monitoring, evaluation, and the Patient Flow Portal (PFP), and use PFP for ongoing monitoring of patients within ICPCC. PFP data will inform evaluation. Portal) Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect 3.6 1,364 with general escalation applied for 2018/19 - Commence implementation of local VAN service redesign and recruitment of permanent clinical staff where staffing gaps have been identified Enable eHealth, Health Information and Data Analytics Data quality improvement – clinical coding / documentation 6.3 250 - Data quality improvement XXXXXX business implementation $250,000 to be allocated to Intra Health for XXX - One-off for 2018/19 6.3 500 - Complete Stage 1 LEAP and transition of at least one data stream (VANAP, ED or WL) 3.5 1,364 - Participate in monitoring and evaluation activities as described in the funding agreement Provide integrated 24/7 psychosocial and Medical Forensic responses for victims of Domestic and Family Violence, Child Physical Abuse and Neglect, and Sexual Assault. Provide community development and outreach services for sexual assaultper District Program Management Plan

Locations Service Requirement. Pancreas Transplantation – Nationally Funded Centre Westmead As per Nationally Funded Centre Agreement - Access for all patients across Australia accepted onto Nationally Funded Centre program Paediatric Liver Transplantation – Nationally Funded Centre SCHN Westmead Islet Cell Transplantation – Nationally Funded Centre Westmead Schedule C: Budget Part 1 Issued 14 July 2017 Schedule C Part 1 Hunter New England 0 Xxxxx Xxxxxxx Xxxxxx LHD - Budget 2019/20 2019/20 2017/18 2017/18 BUDGET Comparative Data A B C D E F G H I Target Volume (NWAU19NWAU17) Volume (Admissions & Attendances) Indicative only State Price per NWAU19 NWAU17 LHD/SHN Projected Average Cost per NWAU19 NWAU17 Initial Budget 2019/20 2017/18 ($ '000) 2018/19 2016/17 Annualised Budget ($ '000) Variance Initial and Annualised ($ '000) Variance (%) Volume Forecast 2018/19 2016/17 (NWAU19NWAU17) A Acute Admitted 190,589 208,805 186,851 227,114 $4,925 4,691 $4,917 4,563 $932,790 853,464 $896,331 801,033 $36,459 186,734 52,431 180,129 Emergency Department 43,394 368,303 38,841 285,214 $211,925 177,459 $202,100 164,717 $9,826 42,111 12,742 37,051 Non Admitted Patients (Including Dental) 66,411 1,133,506 48,536 1,075,872 $324,402 221,726 $309,596 206,968 $14,806 64,509 14,757 46,548 Total 300,393 1,710,614 274,228 1,588,200 $1,469,118 1,252,649 $1,408,026 1,172,718 $61,091 4.379,931 6.8% 293,355 263,727 B Sub-Acute Services - Admitted 12,861 4,498 15,535 5,073 $4,925 4,691 $4,917 4,563 $62,770 70,932 $59,730 67,475 $3,040 12,447 3,456 15,168 Sub-Acute Services - Non Admitted 934 884 $4,592 4,035 $4,484 3,937 $108 934 99 884 Total 13,794 4,498 16,419 5,073 $67,361 74,967 $64,214 71,412 $3,147 4.93,555 5.0% 13,380 16,052 C Mental Health - Admitted (Acute and Sub-Acute) 15,881 4,512 18,242 3,837 $4,925 4,691 $4,917 4,563 $78,028 83,294 $76,008 79,135 $2,021 15,830 Mental Health - Block Funded Hospitals $31,495 $30,758 $737 4,159 17,795 Mental Health - Non Admitted 12,964 224,061 13,063 225,764 $75,334 50,482 $72,459 48,163 $2,875 12,671 2,319 12,832 Mental Health - Classification Adjustment $5,825 $5,705 $120 Total 28,845 228,573 31,304 229,601 $184,857 139,601 $179,225 133,003 $5,633 3.16,598 5.0% 28,501 30,626 D Block Funding Allocation Block Funded Hospitals (Small Hospitals) $158,148 11,522 $154,445 11,240 $3,703 282 Block Funded Services In-Scope - Teaching, Training and Research $53,961 30,090 $52,697 29,354 $1,263 - Other Non Admitted Patient Services $6,333 $6,185 $148 737 Total $218,442 41,613 $213,327 40,594 $5,115 2.41,019 2.5% E State Only Block Funded Services Total $263,923 198,162 $257,743 193,310 $6,180 2.44,852 2.5% F Transition Grant $8,810 Transition Grant (excluding Mental Health) and ROCᵝ $8,810 $8,604 $206 2.4% RSCᵝ G Gross-Up (Private Patient Service Adjustments) $50,077 33,482 $48,905 32,662 $1,173 2.4820 2.5% H Provision for Specific Initiatives & TMF Adjustments (not included above) Additional Palliative Care Nurses $333 Purchasing Adjustors and Data Improvement Project $500 Leading Quality Projects -$851 Better Value Care Program Initiatives $350 Other Block Growth and Purchasing Adjustors -$549 Nursing enhancement 803 TMF Workers Compensation Premium Adjustment $833 Psychologists for drought affected areas $125 2015 1,364 Election Commitment - Additional Nursing, Midwifery and Support positions $194 Procurement Savings -$3,952 Efficiency dividends 2019-20 -$8,447 402 Enhancement to Violence, Abuse and Neglect Services $828 Year 2 Drug & Alcohol Package $268 Total -$10,946 -$10,946 $3,147 $3,147 I Restricted Financial Asset Expenses $21,379 12,125 $21,379 12,125 J Depreciation (General Funds only) $84,992 60,164 $84,992 60,164 K Total Expenses (K=A+B+C+D+E+F+G+H+I+J) $2,358,014 1,815,910 $2,286,415 1,715,988 $71,599 3.199,922 5.8% L Other - Gain/Loss on disposal of assets etc $1,610 770 $1,610 770 M LHD Revenue -$2,301,266 -$2,214,993 -$86,273 -$1,774,220 -$1,665,172 -$109,047 N Net Result (N=K+L+M) $58,358 42,459 $73,033 -$14,675 General Note: ABF growth is funded at 77% of the State Price ᵝ Part of the Acute, ED and Subacute Admitted transition grant has been used to fund growth (see Schedule C glossary) 51,585 Part 2 2019/20 2017/18 Schedule C Part 2 Hunter New England 0 Xxxxx Xxxxxxx Xxxxxx LHD $ (000's) A B C D E Government Grants Subsidy* -$1,391,189 -$1,289,398 In-Scope Services - Block Funded -$290,016 -$82,585 Out of Scope Services - Block Funded -$223,225 -$137,391 Capital Subsidy -$14,303 -$8,612 Crown Acceptance (Super, LSL) -$43,670 -$28,410 F Total Government Contribution (F=A+B+C+D+E) -$1,962,403 -$1,546,395 G H Own Source revenue GF Revenue -$313,531 -$211,358 Restricted Financial Asset Revenue -$25,332 -$16,468 I Total Own Source Revenue (I=G+H) -$338,863 -$227,825 J Total Revenue (J=F+I) -$2,301,266 -$1,774,220 K L M Total Expense Budget - General Funds $2,336,634 1,803,785 Restricted Financial Asset Expense Budget $21,379 12,125 Other Expense Budget $1,610 770 N Total Expense Budget as per Attachment C Part 1 (N=K+L+M) $2,359,624 1,816,679 O Net Result (O=J+N) $58,358 42,459 P Q R Net Result Represented by: Asset Movements -$72,265 -$39,083 Liability Movements $13,907 -$3,376 Entity Transfers S Total (S=P+Q+R) -$58,358 -$42,459 Note: The minimum weekly cash reserve buffer for unrestricted cash at bank has been updated for FY 2019/20 2017/18 to $2.06.4m and has been reduced by remains at approximately 75% of the FY 2018/19 buffer as a result of the transition of creditor payments 4 days' cash expenses after removing Depreciation, Crown Acceptance and PAYG remittance to HealthShare and HealthShare managed bank accounts from the 1st July 2019MOH Holdbacks). Based on final June 2019 2017 cash balances, adjustments will be made in July 2019 2017 to ensure alignment with the cash buffer requirements of NSW Treasury Circular TC15_01 Cash Management – Expanding the Scope of the Treasury Banking System. The Ministry will closely monitor cash at bank balances during the year to ensure compliance with this NSW Treasury policy. * The subsidy amount does not include items E and G, which are revenue receipts retained by the LHDs/SHNs and sit outside the National Pool. Part 3 Schedule C Part 3 2019/20Shared 2017/18Shared Services & Consolidated Statewide Payment Schedule Hunter New England South Western Sydney LHD $ (000's) HS Charges HS Service Centres HS Ambulance Make Ready HS Service Centres Warehousing HS Enable NSW HS Food Services HS Soft Service Charges HS Linen Services HS Recoups HS IPTAAS HS Fleet Services HS Patient Transport Services HS MEAPP (quarterly) $8,505 6,339 $30,693 26,933 $2,287 5,439 $112,146 33,764 $13,719 10,595 $5,978 7,392 $4,120 63 $18,707 4,646 $5,367 9,062 $4,664 Total HSS Charges $201,521 108,900 eHealth EH Corporate IT & EH Information Services ICT SPA EH Recoups $14,080 3,923 $11,034 5,618 Total eHealth Charges $25,114 9,541 IH Transports Interhospital Ambulance Transports Interhospital Ambulance NETS $20,866 4,002 $1,809 60 Total Interhospital Ambulance Charges $22,675 4,062 Interhospital NETS Charges - SCHN $540 416 Payroll Total Payroll (including SGC, FSS, Excluding LSL & PAYG) $1,372,429 826,359 Loans MoH Loan Repayments Treasury Loan (SEDA) $891 5,000 $57 Total Loans $891 5,057 Blood and Blood Products $17,654 13,727 NSW Pathology $45,174 46,490 Compacks (HSSG) $1,648 2,879 TMF Insurances (WC, MV & Property) $20,531 Creditor Payments $549,878 17,055 Energy Australia $18,376 10,535 Total $2,276,430 1,045,020 Note: This schedule represents initial estimates of Statewide recoveries processed by the Ministry on behalf of Service Providers. LHD's/Health Entities LHD's are responsible for regularly reviewing these estimates and liaising with the Ministry where there are discrepancies. The Ministry will work with LHD's/Health Entities LHD's and Service Providers throughout the year to ensure cash held back for these payments reflects actual trends. Consistent with prior years proceduresNote: The amounts above include GST, a mid year review will occur in January with further adjustments made if required. Commencing 2019/20 two additional holdbacks have been included to reflect new statewide payment and recovery processes for Creditors and PAYG. Amendments will also be made to the subsidy sheets in 2019/20 to incorporate contributions from other sources to cover subsidy shortfalls as a result of the additional holdbackswhere applicable. Part 4 2019/20 2017/18 National Health Funding Body Service Agreement - Hunter New England South Western Sydney LHD Period: 1 July 2019 2017 - 30 June 2020 4 2018 National Reform Agreement In- Scope Estimated National Weighted Activity Units Commonwealth Funding Contribution Schedule C Part 4 Acute 183,527 177,183 ED 41,912 36,841 Mental Health 17,203 16,883 Sub Acute 14,600 16,200 Non Admitted 68,206 39,121 Activity Based Funding Total 325,448 286,227 Block Funding Total $136,878,157 24,154,271 Total 325,448 286,227 $136,878,157 24,154,271 Capital Program HUNTER NEW ENGLAND SOUTH WESTERN SYDNEY LHD PROJECTS MANAGED BY HEALTH SERVICE 2019/20 ASSET AUTHORISATION LIMITS 2017/18 Capital Projects Project Code Estimated Total Cost 2019/20 SMRT BP2 ETC 2017/18 Estimated Expenditure to 30 June 2019 2017 Cost to Complete at 30 June 2019 Capital Budget 2017 BP2 Allocation 2017/18 XX0 Xxx. 0000/00 XX0 Xxx. 2019/20 2019/20 Capital Budget Allocation by Source of Funds Confund 2019/20 Local Funds 2019/20 Revenue 2019/20 Lease Liabilities 2019/20 BP2 Est. 2020/21 Balance to Complete $ $ $ $ $ $ $ $ WORKS IN PROGRESS Belmont Operating Theatre and CSD P56370 10,000,000 1,751,126 8,248,874 8,248,874 Asset Refurbishment/Replacement Strategy - 8,248,874 - - Gunnedah Xxxxxxxx Xxxxx Xxxxxxx X00000 400,000 - 400,000 400,000 400,000 - - - JHH Road Network Statewide P55345 9,883,363 5,088,338 4,795,025 4,795,025 Jalangalee Respite Centre Upgrade P56368 7,000,000 1,896,153 5,103,847 5,103,847 - 5,103,847 - - P56197 276,735 0 276,735 276,735 Minor Works & and Equipment >$10,000 Program P51069 n.a - - 14,389,500 4,610,317 9,779,183 - - Newcastle Mater Hospital Cyclical Maintenance P54252 56,287,908 54,494,908 - 1,793,000 1,793,000 - - - Rural Health Infrastructure Program (includes Tenterfield, Scone, Gloucester, Dungog) P56406 10,000,000 2,500,000 7,500,000 7,500,000 7,500,000 - - - 7,736,000 0 7,736,000 7,736,000 TOTAL WORKS IN PROGRESS 83,687,908 60,642,187 21,252,721 37,435,221 14,303,317 23,131,904 - - 17,896,098 5,088,338 12,807,760 12,807,760 TOTAL CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY HUNTER NEW ENGLAND LHD 83,687,908 60,642,187 21,252,721 37,435,221 14,303,317 23,131,904 - - (Continued) ASSET ACQUISITION PROGRAM 17,896,098 5,088,338 12,807,760 12,807,760 PROJECTS MANAGED BY HEALTH INFRASTRUCTURE 2019/20 Capital Projects Project Code Estimated Total Cost 2019/20 Estimated Expenditure to 30 June 2019 Cost to Complete at 30 June 2019 Capital Budget Allocation 2019/20 Budget Est. 2020/21 Budget Est. 2021/22 Budget Est. 2022/23 Balance to Complete $ $ $ $ $ $ $ $ MAJOR NEW WORKS 2019/20 Xxxx Xxxxxx 2017/18 Campbelltown Hospital Car Park 8,712,000 8,712,000 5,000,000 3,712,000 Campbelltown Hospital Redevelopment Stage 2, Mental Health and Innovation Project P56517 780,000,000 - 780,000,000 3,500,000 15,000,000 69,631,000 160,425,000 531,444,000 South West 632,000,000 632,000,000 5,000,000 20,000,000 100,000,000 100,000,000 407,000,000 TOTAL MAJOR NEW WORKS 780,000,000 - 780,000,000 3,500,000 15,000,000 69,631,000 160,425,000 531,444,000 640,712,000 640,712,000 10,000,000 23,712,000 100,000,000 100,000,000 407,000,000 MAJOR WORKS IN PROGRESS Muswellbrook Bowral Hospital Redevelopment P56038 50,000,000 6,168,695 43,831,305 5,000,000 14,783,305 24,048,000 Campbelltown Hospital Redevelopment P54636 121,402,522 120,707,508 695,014 695,014 Planning Campbelltown Stage 2 P56043 19,975,000 19,975,001 - 366,689 - - - (366,689) Xxxx Xxxxxx NICU (Stages 2 and 3) P56160 18,000,000 14,462,179 3,537,821 2,804,443 366,688 - - 366,689 Xxxxxxx Hospital Redevelopment Stages 1 and 2 P56041 40,000,000 20,082,630 19,917,370 16,691,837 3,225,533 - - - Inverell Hospital Redevelopment P56163 60,000,000 17,339,456 42,660,544 19,833,311 20,097,233 2,730,000 - - Maitland Hospital (New) P56309 470,000,000 64,926,963 405,073,037 54,127,605 207,070,005 126,808,947 17,066,479 - P55260 2,050,000 1,261,647 788,353 788,353 TOTAL MAJOR WORKS IN PROGRESS 607,975,000 136,786,229 471,188,772 93,823,885 230,759,460 129,538,947 17,066,479 - 173,452,522 128,137,850 45,314,672 5,000,000 16,266,672 24,048,000 TOTAL CAPITAL EXPENDITURE AUTHORISATION LIMIT MANAGED BY HEALTH INFRASTRUCTURE 1,387,975,000 136,786,229 1,251,188,772 97,323,885 245,759,460 199,169,947 177,491,479 531,444,000 814,164,522 128,137,850 686,026,672 15,000,000 39,978,672 124,048,000 100,000,000 407,000,000 Notes: Expenditure needs to remain within the Capital Expenditure Asset Authorisation Limits (CEAL) indicated above The above budgets do Minor Works and Equipment > $10,000 includes a confund contribution of $3,540,000 This does not include allocations for new FY20 and existing Locally Funded Initiative (LFI) Projects or Right of Use Assets (Leases) Projects. These budgets which will be issued through a separate process. Minor Works & Equipment >$10,000 Program is an annual allocation with no Total Estimated Cost included in Initial Capital Allocation Letters Schedule D: Purchased Volumes Growth Investment Strategic Priority $’000 NWAU19 Performance Metric Activity Growth inclusive of Local Priority Issues Service Stream Target (NWAU17) Acute Inclusive of one additional ICU bed 2 - 190,589 See Schedule E Inpatient Services 186,851 Emergency Department 2.4 Services 38,841 Sub and Non Acute Inpatient Services - 43,394 See Schedule E Sub-Acute Admitted 2 - 12,861 See Schedule E All 15,535 Sub and Non Acute Inpatient Services – Palliative Care Component 3.3 2,605 Non Admitted Patient Services - 2,521 See Schedule E Non-Admitted Tier 2 / 3 - 55,015 See Schedule E Clinics 44,343 Public Dental Clinical Service – Total Dental Activity 5,078 (39,114 DWAU) 1 - 52,455 See Schedule E Mental Health Admitted 3.2 - 15,881 See Schedule E Inpatient Activity 18,242 Mental Health Non-Admitted Inclusive of 2018/19 Mental Health Reform Program Growth 3.2 - 12,964 See Schedule E Alcohol and other drug related Admitted 1.3 - 1,013 See Schedule E Alcohol and other drug related Non Admitted 1.3 - 5,416 See Schedule E Service services 13,063 Growth Investment Tele-stroke Services 2 300 - Activity of service enhancement identified Strategic Priority Target Performance Metric STATE PRIORITY Elective Surgery Volumes Number of Admissions from Surgical Waiting List - All Patients 2.4 22,450 Number Number of Admissions from Surgical Waiting List - Children << 16 Years Old 2.4 1,935 Number Number of Admissions from Surgical Waiting List – Cataract extraction 2.4 4,438 1,590 Number Growth Investment Strategic Priority $ ‘000 NWAU19 NWAU17 Performance Metric NSW HEALTH STRATEGIC PRIORITIES Providing World Class Clinical PROVIDING WORLD-CLASS CLINICAL CARE BETTER VALUE CARE Statewide Initiatives Management of Osteoarthritis – OACCP 2.2 13.115 ACI Evaluation Osteoporotic Refracture Prevention - ORP 2.2 13.115 ACI Evaluation Diabetes High Risk Foot Services – HRFS 2.2 56 ACI Evaluation Diabetes Mellitus 2.2 - ACI Evaluation Chronic Heart Failure – CHF 2.2 803 - ACI Evaluation Chronic Obstructive Pulmonary Disease – COPD 2.2 - ACI Evaluation Renal Supportive Care Where Patient 2.2 & 3.3 53 ACI Evaluation Adverse Events: Falls in Hospitals 2.1 - CEC Criteria Total NWAU 135.23 IMPLEMENTATION INVESTMENT Improving Safety is First Leading Better Value Care Program and Quality Data Data quality improvement – Implementation Support Funding 2.2 350 clinical coding / documentation 6 250 - Performance against LBVC Deliverables Enable eHealth, Health Information Data quality improvement XXXXXX business implementation 6 250 - Deployment of emergency department and Data Analytics Data Improvement Project Data improvement project includes $200,000 EBI program, $100,000 Data Quality, and $200,000 Intra- health Transfer to EBI central program. 6.4 500 - Established Local Governance for Xxxxxx Transition, Completion of Impact Assessment, Participation in extract test work package. Special Considerations in Baseline wait list data streams Growth Investment Strategic Priority $ ‘000 NWAU19 NWAU17 Performance Metric Integrate Systems to Deliver Truly Connected Care INTEGRATED CARE Local Initiatives/s Integrated Care (IC) Strategy Weight adjusted Block funding program Not included in Schedule C, a separate budget supplementation for this amount will be provided in July 2017 3.1 1,597 1,590 - Adoption and implementation in 2019-20 Demonstration of one scaled IC initiative (as per Ministry delivery of Health shortlist). All patients enrolled activities outlined in the Patient Flow Portal (PFP) for ongoing monitoring; PFP data will inform regular evaluation. Integrated Care for People with Chronic Conditions (ICPCC) The ICPCC purchasing model for 2019/20 converts 50% approved Activity Work Plan and the RPM Roadmap Growth Investment Strategic Priority $ NWAU17 Performance Metric SERVICE INVESTMENT System Priority Investment Statewide ICU at Liverpool 2 - 296 Activity of the existing recurrent funding for ICPCC into purchased activity for each District/Network. This is shown as NWAU for each District/Network. 3.1 2,469 523 Identify patients using Risk Stratification in Patient Flow Portal (PFP), and use PFP for ongoing monitoring of patients within ICPCC. PFP data will inform evaluation. new service identified Clinical Redesign of NSW Health Responses to Violence, Abuse and Neglect 3.6 828,421 - Participation in clinical redesign and recruitment of additional clinical staff Local Priority Issues Acute Including annualisation and expansion of Campbelltown (VANincluding cardiac catheterisation laboratory, renal services), Bankstown cardiac catheterisation laboratory, interventional neuroradiology service at Liverpool 2 - 186,851 Activity of new service identified Emergency Department Including annualisation of Campbelltown 2.4 - 38,841 Activity of new service identified Sub-Acute (Admitted and Non-Admitted) 3.5 1,364 2 - Participate 15,535 Activity of new service identified Non-Admitted Including 2nd year of diabetes service and expansion of metabolic service 2 / 3 - 44,343 Activity of new service identified Mental Health Admitted Including expansion of mental health services 3.2 - 18,242 Activity of new service identified Mental Health Non-Admitted 3.2 - 13,063 Activity of new service identified Dental Services DWAU DENTAL SERVICES PROVIDED BY SYDNEY LOCAL HEALTH DISTRICT Specialist services 9,989 Long waiting list patients 7,988 Acute/episodic care patients 2,000 TOTAL 19,977  Dental services provided by Sydney Local Health District to South Western Sydney residents will be managed in monitoring line with the NSW Health Performance Framework.  The Framework stipulates performance thresholds, reporting requirements and evaluation activities as described escalation of performance concerns that are to be adhered to by both Districts.  In the event a performance concern needs to be escalated, this should be raised by the District through the System Purchasing and Performance Division Schedule E: Performance against Strategies and Objectives The performance of Districts, Networks, other Health Services and Support Organisations is assessed in terms of whether it is meeting performance targets for individual key performance indicators for each NSW Health Strategic Priority.  Performing Performance at, or better than, target  Underperforming Performance within a tolerance range X Not performing Performance outside the tolerance threshold Detailed specifications for the key performance indicators are provided in the funding agreement Provide integrated 24/7 psychosocial Service Agreement Data Supplement along with the list of improvement measures that will continue to be tracked by the Ministry’s Business Owners - see xxxx://xxxx.health.nsw.gov.au/xxxx/view_data_resource_description.cfm?ItemID=22508 Performance concerns will be raised with the Organisation for focused discussion at performance review meetings in line with the NSW Health Performance Framework. The Data Supplement also maps indicators and Medical Forensic responses for victims of Domestic measures to key strategic programs including  Premier’s and Family ViolenceState Priorities  Election Commitments  Better Value Care  Patient Safety First  Mental Health Reform  Financial Management Transformations Key deliverables under the NSW Health Strategic Priorities 2017-18 will also be monitored, Child Physical Abuse noting that process key performance indicators and Neglect, milestones are held in the detailed Operational Plans developed by each Health Service and Sexual AssaultSupport Organisation. Provide community development and outreach services for sexual assaultKey Performance Indicators Strategic Priority Domain Measure Target Not Performing X Under Performing  Performing 