Health Authority of Anguilla 2020 Budget Analysis

HEALTH AUTHORITY OF ANGUILLA 2020 BUDGET

HEALTH AUTHORITY OF ANGUILLA INCOME & EXPENDITURE SUMMARY - EC$000 BUD 2020 BUD 2021 BUD 2022 2020 YoY Growth DESCRIPTION 2018 2019 VS 2018 VS 2019 2018 2019 2020 2021 Revenue EC$000 EC$000 EC$000 EC$000 EC$000 EC$000 EC$000 % % % % Subvention 16,777 16,662 16,662 16,662 16,662 -115 0 1% 0% 0% 0% Patient Care 13,468 11,669 14,790 15,530 15,530 1,322 3,121 15% 27% 5% 0% Other Revenue (Recurrent) 2,097 535 479 479 479 -1,618 -56 24% -10% 0% 0% 32,343 28,867 31,932 32,672 32,672 -410 3,065 7% 11% 2% 0% Expenditure PE -21,627 -21,405 -22,948 -22,431 -22,428 -1,321 -1,543 -14% -7% 2% 0% Goods & Services -8,307 -7,872 -8,294 -8,312 -8,343 13 -421 -9% -5% 0% 0% Transfers & Subsidies -379 -315 -382 -78 -190 -3 -67 -64% -21% 80% -143% Other -35 -82 -301 -250 -250 -266 -218 63% -265% 17% 0% -30,347 -29,675 -31,924 -31,071 -31,211 -1,577 -2,249 12% 8% -3% 0% Recurrent Surplus ( Deficit) 1,995 -808 8 1,601 1,461 -1,987 816 -235% -101% 19177% -9% Capital Revenue 62 0 0 0 0 -62 0 100% 0% 0% 0% Capital Expenditure -730 -123 -5 -100 -100 725 118 78% 96% -1900% 0% Net Capital Expenditure -668 -123 -5 -100 -100 663 118 71% 96% -1900% 0% Surplus (Deficit) 1,327 -931 3 1,501 1,361 -1,324 934 -638% -100% 45321% -9% Special Expenditure -864 -1,728 0 0 0 864 1,728 387% 100% 0% 0% Net Position Surplus ( Deficit) 463 -2,659 3 1,501 1,361 -460 2,662 1363% -100% 45321% -9%

HEALTH AUTHORITY OF ANGUILLA REVENUE ANALYSIS - EC$000 YoY Growth REVENUE CATEGORY 2017 EC$000 2018 EC$000 2019 FC EC$000 2020 BUD EC$000 2021 BUD EC$000 2022 BUD EC$000 2020 % GOA- Subvention 17,062.4 16,777.4 16,662.4 16,662.4 16,662.4 16,662.4 0% Patient Revenue Ambulance Services Consultation Fees Denied Claims Dental Fees Dialysis Fees Dishonoured Cheque Donations Drug Fees Fees-Other Immunization Fees Insurance Lab Fees Medical Fees - Inpatients Medical Fees- Outpatient Medical Reports Minor Surgery Miriam Gumbs Senior Citizens Home Other Revenue (Miscellaneous/Unclass) Physiotherapy Fees Previous Year's Revenue Supplies/Consumables X Ray Fees Home Care Services Subtotal - Patient Revenue 10,656 4 13,468 5 3 14,790 8 2,625 2,292 3,295 1,257 1,719 1,214 15,530 8 2,625 2,292 3,295 1,257 1,719 1,214 15,530 8 150% 15% 100% 28% 0% -100% -25% 22% 23% 33% 40% 15% 40% 16% -1% 146% 54% -40% 0% 182% 14% 110% -100% 27% 373 14 553 628 614 12 351 706 24 449 742 25 472 742 25 472 3 330 2,107 - 2,632 - 1,190 2,161 2,508 2,500 - 0 - - 35 16 12 12 12 1,802 1,783 2,183 54 3 41 7 27 5 33 7 35 7 35 7 2,448 803 979 713 2,740 1,088 1,074 963 2,242 1,037 1,170 996 3,138 1,197 1,637 1,156 29 5 162 39 28 271 10 200 23 23 3 182 71 48 15 20 243 - 24 1 130 132 50 274 23 3 200 78 50 774 10 601 - 25 4 210 82 53 813 10 631 - 25 4 210 82 53 813 10 631 - 9 286 0 11,669 Other Revenue Bank charge Commission Insurance Settlement Interest on Bank Deposit Pension Refund Social Security Telephone Refund Vending Machine Sales Rent HAA Buildings Subtotal - Other Revenue 1,113.0 - 2,097.0 0 0 - -100% -3% 42 675 16 20 20 20 20 1,758 - 3 4 0 2 0 2 2 2 3% - 319 22 52 - 273 468 409 479.4 409 479.4 409 -13% 12% 1% 200% -10% 3 1 2 2 2 42 42 2 42 5 42 5 42 5 - 535.1 479.4 Total Recurrent Revenue 28,831.00 32,342.52 28,867.0 31,932.2 32,671.7 32,671.7 11% Capital Revenue Other Capital Revenue GOA Contribution 123.6 - - - - - - - - 100% 0% - Total Capital Revenue 123.6 - - - - - 0%5 TOTAL REVENUE 28,955 32,343 28,867 31,932 32,672 32,672 11%

HEALTH AUTHORITY OF ANGUILLA TOTAL EXPENDITURE SUMMARY HAA YR1 2020 YR2 BUD YR3 BUD 2021 YoY Growth 2020 DESCRIPTION 2018 2019 2022 PERSONAL EMOLUMENTS Personal Emoluments Wages Contributing Pensions Social Security Employers contribution ex Gratia Award Allowances Board & Committee Fees Insurance Benefit Staff 18,175 17,984 19,318 18,842 18,842 -7% 0% -10% -7% 0% -1% 0% -9% 0 0 0 0 0 439 718 428 724 471 777 461 772 461 772 0 0 0 0 0 1,008 171 1,117 855 189 860 190 856 190 856 190 1,225 1,332 1,310 1,307 0 TOTAL PERSONAL EMOLUMENT COSTS 21,627 21,405 22,948 22,431 22,428 -7% GOODS AND SERVICES Local Travel & Subsistence International Travel & Subsistence Utilities Communication Expenses Supplies Materials Medical Supplies Subscription, periodicals and Books Maintenance of Buildings Maintenance Services Operating Costs Rental of Assets Rental of Heavy Equipment & Machinery Professional & Consultancy Fees Insurance Medical Protection Society Hosting and Entertainment Training Advertising National Programmes TOTAL GOODS AND SERVICES 0 0 0 0 0 0% 37% 2% -19% -2% 1% 0% 79% -25% -186% 46% 0% -92% -31% -4% -28% -42% 66% -52% -5% 254 193 122 119 119 1,100 493 690 3,536 1,361 231 682 3,352 1,337 274 694 3,309 1,300 274 665 3,309 1,300 274 665 3,309 12 221 500 33 42 14 282 430 24 63 14 60 538 70 34 28 60 538 70 34 28 60 538 70 34 0 0 0 0 0 601 266 282 41 211 25 480 199 274 33 205 28 22 923 261 284 42 290 10 33 974 258 312 42 290 10 31 974 258 344 42 290 10 31 2 8,307 7,872 8,294 8,312 8,343 TRANSFERS AND SUBSIDIES Retiring Benefits - Gratuities Grants and Contributions Medical Treatment Overseas TOTAL TRANSFERS AND SUBSIDIES 370 311 376 72 0 6 78 184 -21% 0% -59% -21% 0 9 0 4 0 6 0 6 379 315 382 190 OTHER EXPENSES Refunds Claims Against Health Authority Sundry Expenses Contingencies TOTAL OTHER EXPENSES 9 0 11 38 33 0 82 6 6 6 46% -57% -153% 0% -264% 60 84 150 300 60 34 150 250 60 34 150 250 26 0 35 DEBT Debt Servicing - Domestic Debt Servicing - international TOTAL DEBT 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0% 0% 0% TOTAL RECURRENT EXPENDITURE 30,347 29,675 31,924 31,071 31,211 -8% SPECIAL EXPENDITURE 698 1,728 0 0 0 100% CAPITAL EXPENDITURE 730 123 5 100 100 96% TOTAL EXPENDITURE 31,775 31,526 31,929 31,171 31,311 -1%

HEALTH AUTHORITY OF ANGUILLA ESTIMATES OF RECURRENT EXPENDITURE 101 CORPORATE ADMINISTRATION YR1 2020 YR2 BUD 2021 YR3 BUD 2022 YoY Growth 2020 DESCRIPTION 2018 2019 PERSONAL EMOLUMENTS Personal Emoluments Wages Contributing Pensions Social Security Employers contribution ex Gratia Award Allowances Board & Committee Fees Insurance Benefit Staff 2,061 2,807 2,593 2,526 2,526 8% 0% -3% 3% 0% -16% 0% -8% 0 0 0 0 0 51 87 0 137 171 129 67 117 69 113 67 111 67 111 0 0 0 0 89 189 186 103 190 201 105 190 201 105 190 198 0 TOTAL PERSONAL EMOLUMENT COSTS 2,636 3,455 3,268 3,200 3,197 5% GOODS AND SERVICES Local Travel & Subsistence International Travel & Subsistence Utilities Communication Expenses Supplies Materials Medical Supplies Subscription, periodicals and Books Maintenance of Buildings Maintenance Services Operating Costs Rental of Assets Rental of Heavy Equipment & Machinery Professional & Consultancy Fees Insurance Medical Protection Society Hosting and Entertainment Training Advertising National Programmes TOTAL GOODS AND SERVICES 0 0 6 0 6 0 6 0 6 0 0 6 0 0% 2% 0% -52% -1% 0% 0% 0% -1400% 0% -13% 0% -81% -33% -4% -22% -42% 71% 100% -42% 19 0 19 79 0 0 0 8 0 2 0 429 258 282 41 211 24 37 10 71 0 14 0 3 0 2 0 769 243 284 40 290 10 71 0 28 0 3 0 2 0 819 243 312 40 290 10 71 0 28 0 3 0 2 0 819 243 344 40 290 70 0 14 0 0 0 1 0 424 182 274 33 205 28 8 0 8 0 8 0 1 3 1,372 1,246 1,775 1,831 1,862 TRANSFERS AND SUBSIDIES Retiring Benefits - Gratuities Grants and Contributions Medical Treatment Overseas TOTAL TRANSFERS AND SUBSIDIES 0 0 9 9 14 0 4 18 0 0 6 6 0 0 6 6 0 0 6 6 100% 0% -59% 66% OTHER EXPENSES Refunds Claims Against Health Authority Sundry Expenses Contingencies TOTAL OTHER EXPENSES 9 0 11 38 33 0 82 6 6 6 46% -57% -153% 0% -264% 60 84 150 300 60 34 150 250 60 34 150 250 26 0 35 DEBT Debt Servicing - Domestic Debt Servicing - international TOTAL DEBT 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0% 0% 0% TOTAL RECURRENT EXPENDITURE 4,051 4,801 5,350 5,287 5,316 -11% SPECIAL EXPENDITURE 698 1,728 0 0 0 100% CAPITAL EXPENDITURE 730 123 5 100 100 96% TOTAL EXPENDITURE 5,479 6,652 5,355 5,387 5,416 20%

HEALTH AUTHORITY OF ANGUILLA ESTABLISHMENT (2020) CORPORATE 101 HEADCOUNT COST 2019 2020 2021 2022 2020 2021 2022 Accountant Accounting Assistant Accounting Assistant II Accounts Receivable Officer Billing Clerk Cashier Chief Executive Officer Chief Finanacial Officer Claims Assistant Claims Officer Executive Secretary Health Care Relations Officer Human Resource Assistant Human Resource Manager Human Resource Officer Messenger Night Receptionist Payroll Officer Personal Asst to CEO Receiver Receptionist Senior Cashier Stores Assistant Stores Supervisor 1 3 1 1 1 9 1 1 1 1 2 2 1 1 2 1 2 1 1 1 2 1 1 1 9 1 1 1 1 2 2 1 1 2 1 2 1 1 1 1 1 2 1 1 1 9 1 1 1 1 2 2 1 1 2 1 2 1 1 1 1 1 2 1 1 1 9 1 1 1 1 2 2 1 1 2 1 2 1 1 1 1 94,956 127,032 76,116 77,664 43,356 394,668 225,216 150,480 57,444 70,236 101,916 189,912 47,472 202,216 178,920 37,668 72,384 85,008 85,872 37,668 43,356 94,956 127,032 76,116 77,664 43,356 394,668 225,214 150,480 57,444 70,236 101,916 189,912 47,472 138,876 178,920 37,668 72,384 85,008 85,872 37,668 43,356 94,956 127,032 76,116 77,664 43,356 394,668 225,214 150,480 57,444 70,236 101,916 189,912 47,472 138,876 178,920 37,668 72,384 85,008 85,872 37,668 43,356 1 1 1 1 - - - 1 1 1 1 1 1 56,292 77,664 56,292 77,664 56,292 77,664 Total Permanent Staff Temporary Staff 37 36 36 36 2,533,516 56,004 2,470,174 2,470,174 56,004 56,004 Total PE 2,589,520 2,526,178 2,526,178 Overtime - - - Allowances Call Out Acting Allowance Telephone Allowance Entertainment Allowance Responsibility Allowance Housing Allowance On Call Allowance Uniform Allowance Allowance Other Travel Allowance Total Allowances 16,000 34,884 16,000 34,884 16,000 34,884 - - - 4,200 12,000 4,200 12,000 4,200 12,000 - - - 7,200 7,700 - 20,650 102,634 7,200 7,700 - 23,100 105,084 7,200 7,700 - 23,100 105,084 Gratuity - - - Contributions Pension Social Security Medical Total Contributions 69,256 112,598 200,714 382,568 67,348 110,848 201,173 379,369 67,349 110,847 198,418 376,614 Board Fees 189,540 189,540 189,540 Total Staff Costs 3,264,262 3,200,171 3,197,415

HEALTH AUTHORITY OF ANGUILLA ESTIMATES OF RECURRENT EXPENDITURE 201 MEDICAL HOSPITAL YR1 2020 YR2 BUD 2021 YR3 BUD 2022 YoY Growth 2020 DESCRIPTION 2018 2019 PERSONAL EMOLUMENTS Personal Emoluments Wages Contributing Pensions Social Security Employers contribution ex Gratia Award Allowances Board & Committee Fees Insurance Benefit Staff 4,555 4,037 5,155 4,861 4,861 -28% 0% -50% -37% 0% 15% 0% -39% 0 0 0 0 0 98 116 81 101 122 138 122 138 122 138 0 0 0 0 0 215 126 107 107 107 0 0 0 0 0 146 132 184 187 187 0 TOTAL PERSONAL EMOLUMENT COSTS 5,130 4,476 5,705 5,415 5,415 -27% GOODS AND SERVICES Local Travel & Subsistence International Travel & Subsistence Utilities Communication Expenses Supplies Materials Medical Supplies Subscription, periodicals and Books Maintenance of Buildings Maintenance Services Operating Costs Rental of Assets Rental of Heavy Equipment & Machinery Professional & Consultancy Fees Insurance Medical Protection Society Hosting and Entertainment Training Advertising National Programmes TOTAL GOODS AND SERVICES 0 0 0 0 0 0% 19% 100% -101% 8% -10% 0% 0% 0% 0% 0% 0% -382% 0% 0% 0% 0% 0% 0% -27% 147 113 91 0 9 20 256 91 0 9 20 256 91 0 9 20 256 0 2 4 19 15 311 22 233 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 25 0 0 0 0 0 0 399 119 119 119 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 507 630 495 495 TRANSFERS AND SUBSIDIES Retiring Benefits - Gratuities Grants and Contributions Medical Treatment Overseas TOTAL TRANSFERS AND SUBSIDIES 129 61 0 0 61 129 0 0 0 0 0 0 0 0 -110% 0% 0% -110% 0 0 0 0 129 129 OTHER EXPENSES Refunds Claims Against Health Authority Sundry Expenses Contingencies TOTAL OTHER EXPENSES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% 0% 0% DEBT Debt Servicing - Domestic Debt Servicing - international TOTAL DEBT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% TOTAL RECURRENT EXPENDITURE 5,888 4,937 6,341 5,909 5,909 -28%

HEALTH AUTHORITY OF ANGUILLA ESTABLISHMENT (2020) MEDICAL SERVICES 201 HEADCOUNT COST 2019 2020 2021 2022 2020 2021 2022 Admissions Clerk Anesthesiologist Community Doctor Coordinator EMS/Paramedic Coordinator Health Information Director Medical Services Emergency Medical Technician EMT/Paramedic Family Medicine ( Specialist) General Practitioner General Surgeon Internist Medical Records Assistant OBGYN Pediatrician Supernumerary Ward Clerk 1 1 2 1 1 1 8 2 2 8 1 2 2 1 1 1 1 1 1 1 1 8 2 2 1 1 1 1 1 1 8 2 2 1 1 1 1 1 1 8 2 2 52,464 212,400 164,904 93,048 85,872 210,800 361,818 90,004 357,792 1,767,120 217,332 216,132 104,928 212,400 233,668 29,458 52,464 212,400 164,904 93,048 85,872 210,800 361,818 90,004 357,792 1,767,120 217,332 216,132 104,928 212,400 233,667 52,464 212,400 164,904 93,048 85,872 210,800 361,818 90,004 357,792 1,767,120 217,332 216,132 104,928 212,400 233,667 10 1 1 2 1 1 1 10 1 1 2 1 1 1 10 1 1 2 1 1 1 29,457 29,457 1 - - - Total Permanent Staff Temporary Staff 35 35 35 35 4,410,140 360,000 4,410,138 360,000 4,410,138 360,000 Total PE 4,770,140 4,770,138 4,770,138 Overtime 100,000 100,000 100,000 Allowances Call Out Acting Allowance Telephone Allowance Entertainment Allowance Responsibility Allowance Housing Allowance On Call Allowance Uniform Allowance Allowance Other Travel Allowance Total Allowances 30,129 30,129 30,129 7,800 7,800 7,800 69,000 106,929 69,000 106,929 69,000 106,929 Gratuity 128,920 - - Contributions Pension Social Security Medical Total Contributions 121,820 138,132 183,720 443,672 121,816 138,132 187,394 447,343 121,815 138,134 187,394 447,344 Board Fees Total Staff Costs 5,549,661 5,424,410 5,424,411

HEALTH AUTHORITY OF ANGUILLA ESTIMATES OF RECURRENT EXPENDITURE 202 LABORATORY YR1 2020 YR2 BUD 2021 YR3 BUD 2022 YoY Growth 2020 DESCRIPTION 2018 2019 PERSONAL EMOLUMENTS Personal Emoluments Wages Contributing Pensions Social Security Employers contribution ex Gratia Award Allowances Board & Committee Fees Insurance Benefit Staff 344 343 343 343 343 0% 0% -29% 3% 0% 18% 0% -1% 0 8 0 8 0 0 0 10 16 0 68 0 28 0 465 10 16 0 65 0 28 10 16 0 65 0 28 17 0 82 0 26 17 0 82 0 27 TOTAL PERSONAL EMOLUMENT COSTS 477 477 462 462 3% GOODS AND SERVICES Local Travel & Subsistence International Travel & Subsistence Utilities Communication Expenses Supplies Materials Medical Supplies Subscription, periodicals and Books Maintenance of Buildings Maintenance Services Operating Costs Rental of Assets Rental of Heavy Equipment & Machinery Professional & Consultancy Fees Insurance Medical Protection Society Hosting and Entertainment Training Advertising National Programmes TOTAL GOODS AND SERVICES 0 0 0 4 3 0 0 0 1 4 0 0 0 5 6 0 0 0 5 3 0 0 0 5 3 0% 0% 0% -425% -64% -1% 0% 0% -492% 0% 0% 0% -23% 0% 0% 0% 0% 0% 0% -17% 529 514 520 520 520 0 0 0 0 0 0 0 0 0 0 53 0 0 0 32 0 0 0 0 0 0 620 16 0 0 0 29 0 0 0 0 0 0 563 93 0 0 0 36 0 0 0 0 0 0 659 93 0 0 0 36 0 0 0 0 0 0 656 93 0 0 0 36 0 0 0 0 0 0 656 TRANSFERS AND SUBSIDIES Retiring Benefits - Gratuities Grants and Contributions Medical Treatment Overseas TOTAL TRANSFERS AND SUBSIDIES 23 0 0 23 0 0 0 0 23 0 0 23 0 0 0 0 23 0 0 23 0% 0% 0% 0% OTHER EXPENSES Refunds Claims Against Health Authority Sundry Expenses Contingencies TOTAL OTHER EXPENSES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% 0% 0% DEBT Debt Servicing - Domestic Debt Servicing - international TOTAL DEBT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% TOTAL RECURRENT EXPENDITURE 1,119 1,041 1,146 1,119 1,141 -10%

HEALTH AUTHORITY OF ANGUILLA ESTABLISHMENT (2020) LABORATORY 202 HEADCOUNT COST 2019 2020 2021 2022 2020 2021 2022 Clerical Officer/Receptionist Coordinator Laboratory Services Laboratory Assistant Medical Technologist Phlebotomist 1 1 1 2 1 1 1 1 2 1 1 1 1 2 1 1 1 1 2 1 39,204 99,672 49,404 154,560 39,204 99,672 49,404 154,560 39,204 99,672 49,404 154,560 1 1 1 Total Permanent Staff Temporary Staff 6 6 6 6 342,841 342,841 342,841 - - - Total PE 342,841 342,841 342,841 Overtime - - - Allowances Call Out Acting Allowance Telephone Allowance Entertainment Allowance Responsibility Allowance Housing Allowance On Call Allowance Uniform Allowance Allowance Other Travel Allowance Total Allowances 40,500 2,368 40,500 40,500 - - 9600 9600 9600 10,800 10,800 10,800 4,500 67,768 4,500 65,400 4,500 65,400 Gratuity 22,597 - 22,597 Contributions Pension Social Security Medical Total Contributions 10,285 16,356 27,558 54,199 10,284 16,360 27,558 54,202 10,285 16,358 27,558 54,201 Board Fees Total Staff Costs 487,406 462,443 485,039

HEALTH AUTHORITY OF ANGUILLA ESTIMATES OF RECURRENT EXPENDITURE 204 DIALYSIS YR1 2020 YR2 BUD 2021 YR3 BUD 2022 YoY Growth 2020 DESCRIPTION 2018 2019 PERSONAL EMOLUMENTS Personal Emoluments Wages Contributing Pensions Social Security Employers contribution ex Gratia Award Allowances Board & Committee Fees Insurance Benefit Staff 321 426 422 422 422 1% 0% 1% -15% 0% 44% 0% -7% 0 6 0 0 0 0 10 18 0 28 0 31 10 20 0 15 0 33 0 500 10 20 0 14 0 33 10 20 0 14 0 33 15 0 24 0 21 TOTAL PERSONAL EMOLUMENT COSTS 387 512 498 498 2% GOODS AND SERVICES Local Travel & Subsistence International Travel & Subsistence Utilities Communication Expenses Supplies Materials Medical Supplies Subscription, periodicals and Books Maintenance of Buildings Maintenance Services Operating Costs Rental of Assets Rental of Heavy Equipment & Machinery Professional & Consultancy Fees Insurance Medical Protection Society Hosting and Entertainment Training Advertising National Programmes TOTAL GOODS AND SERVICES 0 0 0 0 0 0 0 0 0 3 0 1 0 0 3 0 1 0 0 3 0 1 0 0 3 0% 0% 0% -129% 11% -13% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% -23% 510 353 400 400 400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 520 32 0 0 0 0 0 0 0 0 0 0 437 32 0 0 0 0 0 0 0 0 0 0 437 32 0 0 0 0 0 0 0 0 0 0 437 356 TRANSFERS AND SUBSIDIES Retiring Benefits - Gratuities Grants and Contributions Medical Treatment Overseas TOTAL TRANSFERS AND SUBSIDIES 29 0 0 29 0 0 0 0 29 0 0 29 0 0 0 0 0 0 0 0 0% 0% 0% 0% OTHER EXPENSES Refunds Claims Against Health Authority Sundry Expenses Contingencies TOTAL OTHER EXPENSES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% 0% 0% DEBT Debt Servicing - Domestic Debt Servicing - international TOTAL DEBT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% TOTAL RECURRENT EXPENDITURE 936 868 966 935 935 -11%

HEALTH AUTHORITY OF ANGUILLA ESTABLISHMENT (2020) DIALYSIS 204 HEADCOUNT COST 2019 2020 2021 2022 2020 2021 2022 Dialysis Manager Registered Nurse Registered Nursing Assistant Supernumerary 1 3 1 2 1 3 1 1 1 3 1 1 1 3 1 1 96,684 232,992 54624 37,356 96,684 232,992 54624 37,361 96,684 232,992 54624 37,361 Total Permanent Staff Temporary Staff 7 6 6 6 421,656 421,661 421,661 Total PE 421,656 421,661 421,661 Overtime - - - Allowances Call Out Acting Allowance Telephone Allowance Entertainment Allowance Responsibility Allowance Housing Allowance On Call Allowance Uniform Allowance Allowance Other Travel Allowance Total Allowances 1,849 - - 9,600 9,600 9,600 3,900 3,900 3,900 15,349 13,500 13,500 Gratuity 29,005 - - Contributions Pension Social Security Medical Total Contributions 9,744 20,448 33,070 63,262 9,748 20,448 33,070 63,266 9,749 20,449 33,070 63,268 Board Fees Total Staff Costs 529,272 498,426 498,428

HEALTH AUTHORITY OF ANGUILLA ESTIMATES OF RECURRENT EXPENDITURE 205 DENTAL YR1 2020 YR2 BUD 2021 YR3 BUD 2022 YoY Growth 2020 DESCRIPTION 2018 2019 PERSONAL EMOLUMENTS Personal Emoluments Wages Contributing Pensions Social Security Employers contribution ex Gratia Award Allowances Board & Committee Fees Insurance Benefit Staff 906 738 941 941 941 -27% 0% -10% -22% 0% 23% 0% -24% 0 0 0 0 0 15 27 0 27 0 51 15 26 0 23 0 44 17 31 0 18 0 55 0 17 31 0 18 0 55 17 31 0 18 0 55 TOTAL PERSONAL EMOLUMENT COSTS 1,026 847 1,062 1,062 1,062 -25% GOODS AND SERVICES Local Travel & Subsistence International Travel & Subsistence Utilities Communication Expenses Supplies Materials Medical Supplies Subscription, periodicals and Books Maintenance of Buildings Maintenance Services Operating Costs Rental of Assets Rental of Heavy Equipment & Machinery Professional & Consultancy Fees Insurance Medical Protection Society Hosting and Entertainment Training Advertising National Programmes TOTAL GOODS AND SERVICES 0 0 5 3 0 9 0 0 5 0 3 5 6 0 0 5 6 0 0 5 6 0% 66% 0% -1447% -97% -40% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% -45% 14 113 12 10 85 0 0 0 0 0 0 0 0 0 0 0 0 0 109 10 85 0 0 0 0 0 0 0 0 0 0 0 0 0 106 10 85 0 0 0 0 0 0 0 0 0 0 0 0 0 106 61 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 1 0 0 0 0 0 0 147 TRANSFERS AND SUBSIDIES Retiring Benefits - Gratuities Grants and Contributions Medical Treatment Overseas TOTAL TRANSFERS AND SUBSIDIES 48 0 0 48 46 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 100% 0% 0% 100% OTHER EXPENSES Refunds Claims Against Health Authority Sundry Expenses Contingencies TOTAL OTHER EXPENSES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% 0% 0% DEBT Debt Servicing - Domestic Debt Servicing - international TOTAL DEBT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% TOTAL RECURRENT EXPENDITURE 1,221 967 1,171 1,168 1,168 -21%

HEALTH AUTHORITY OF ANGUILLA ESTABLISHMENT (2020) DENTAL 205 HEADCOUNT COST 2019 2020 2021 2022 2020 2021 2022 Dental Assistant Dental Surgeon Dental Therapist Senior Dental Assistant Senior Dental Surgeon Senior Dental Therapist 3 3 3 1 1 1 3 3 3 1 1 1 3 3 3 1 1 1 3 3 3 1 1 1 118,836 343,909 122,556 47,472 222,516 85,872 118,836 343,909 122,557 47,472 222,516 85,872 118,836 343,909 122,557 47,472 222,516 85,872 Total Permanent Staff Temporary Staff 12 12 12 12 941,161 941,162 941,162 - - - Total PE 941,161 941,162 941,162 Overtime - - - Allowances Call Out Acting Allowance Telephone Allowance Entertainment Allowance Responsibility Allowance Housing Allowance On Call Allowance Uniform Allowance Allowance Other Travel Allowance Total Allowances 146 146 146 9600 9600 9600 5,200 5,200 5,200 2,700 17,646 2,700 17,646 2,700 17,646 Gratuity - - - Contributions Pension Social Security Medical Total Contributions 16,644 31,248 55,116 103,008 16,648 31,244 55,116 103,008 16,646 31,243 55,116 103,005 Board Fees Total Staff Costs 1,061,815 1,061,816 1,061,813

HEALTH AUTHORITY OF ANGUILLA ESTIMATES OF RECURRENT EXPENDITURE 206 PHYSIOTHERAPY YR1 2020 YR2 BUD 2021 YR3 BUD 2022 YoY Growth 2020 DESCRIPTION 2018 2019 PERSONAL EMOLUMENTS Personal Emoluments Wages Contributing Pensions Social Security Employers contribution ex Gratia Award Allowances Board & Committee Fees Insurance Benefit Staff 149 149 149 149 149 0% 0% 0% 0% 0% 0% 0% -1% 0 4 7 0 1 0 0 4 7 0 1 0 0 4 7 0 1 0 0 4 7 0 1 0 0 4 7 0 1 0 10 11 11 0 172 11 11 TOTAL PERSONAL EMOLUMENT COSTS 172 172 172 172 0% GOODS AND SERVICES Local Travel & Subsistence International Travel & Subsistence Utilities Communication Expenses Supplies Materials Medical Supplies Subscription, periodicals and Books Maintenance of Buildings Maintenance Services Operating Costs Rental of Assets Rental of Heavy Equipment & Machinery Professional & Consultancy Fees Insurance Medical Protection Society Hosting and Entertainment Training Advertising National Programmes TOTAL GOODS AND SERVICES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 TRANSFERS AND SUBSIDIES Retiring Benefits - Gratuities Grants and Contributions Medical Treatment Overseas TOTAL TRANSFERS AND SUBSIDIES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% 0% OTHER EXPENSES Refunds Claims Against Health Authority Sundry Expenses Contingencies TOTAL OTHER EXPENSES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% 0% 0% DEBT Debt Servicing - Domestic Debt Servicing - international TOTAL DEBT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% TOTAL RECURRENT EXPENDITURE 172 172 197 172 172 -15%

HEALTH AUTHORITY OF ANGUILLA ESTABLISHMENT (2020) PHYSIOTHERAPHY 206 HEADCOUNT COST 2019 2020 2021 2022 2020 2021 2022 PHYSIOTHERAPIST PHYSIOTHERAPIST ASSISTANT 1 1 1 1 1 1 1 1 93,984 54,624 93,984 54,624 93,984 54,624 Total Permanent Staff Temporary Staff 2 2 2 2 148,608 148,608 148,608 Total PE 148,608 148,608 148,608 Overtime - - - Allowances Call Out Acting Allowance Telephone Allowance Entertainment Allowance Responsibility Allowance Housing Allowance On Call Allowance Uniform Allowance Allowance Other Travel Allowance Total Allowances 1,400 1,400 1,400 1,400 1,400 1,400 Gratuity - - - Contributions Pension Social Security Medical Total Contributions 4,464 6,936 11,023 22,423 4,460 6,932 11,023 22,415 4,458 6,931 11,023 22,412 Board Fees Total Staff Costs 172,431 172,423 172,420

HEALTH AUTHORITY OF ANGUILLA ESTIMATES OF RECURRENT EXPENDITURE 207 PHARMACY YR1 2020 YR2 BUD 2021 YR3 BUD 2022 YoY Growth 2020 DESCRIPTION 2018 2019 PERSONAL EMOLUMENTS Personal Emoluments Wages Contributing Pensions Social Security Employers contribution ex Gratia Award Allowances Board & Committee Fees Insurance Benefit Staff 362 359 375 375 375 -5% 0% -4% -5% 0% -3% 0% -1% 0 6 0 6 0 6 0 6 0 6 13 0 37 0 22 18 0 41 0 27 19 0 42 0 28 0 469 18 0 42 0 28 18 0 42 0 28 TOTAL PERSONAL EMOLUMENT COSTS 440 451 468 468 -4% GOODS AND SERVICES Local Travel & Subsistence International Travel & Subsistence Utilities Communication Expenses Supplies Materials Medical Supplies Subscription, periodicals and Books Maintenance of Buildings Maintenance Services Operating Costs Rental of Assets Rental of Heavy Equipment & Machinery Professional & Consultancy Fees Insurance Medical Protection Society Hosting and Entertainment Training Advertising National Programmes TOTAL GOODS AND SERVICES 0 0 0 6 0 2 3 0 6 0 2 3 0 6 0 2 3 0% 64% 0% -227% 14% -3% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% -3% 44 0 4 2 15 0 1 3 1,807 1,746 1,800 1,800 1,800 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,857 1,765 1,810 1,810 1,810 TRANSFERS AND SUBSIDIES Retiring Benefits - Gratuities Grants and Contributions Medical Treatment Overseas TOTAL TRANSFERS AND SUBSIDIES 0 0 0 0 0 0 0 0 23 0 0 23 0 0 0 0 0 0 0 0 0% 0% 0% 0% OTHER EXPENSES Refunds Claims Against Health Authority Sundry Expenses Contingencies TOTAL OTHER EXPENSES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% 0% 0% DEBT Debt Servicing - Domestic Debt Servicing - international TOTAL DEBT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% TOTAL RECURRENT EXPENDITURE 2,297 2,216 2,302 2,279 2,279 -4%

HEALTH AUTHORITY OF ANGUILLA ESTABLISHMENT (2020) PHARMACY 207 HEADCOUNT COST 2019 2020 2021 2022 2020 2021 2022 Pharmacist Pharmacy Assistant Coordinator Pharmaceutical Services 3 1 1 3 1 1 3 1 1 3 1 1 228,312 39,612 94,956 228,312 39,612 94,956 228,312 39,612 94,956 Total Permanent Staff Temporary Staff 5 5 5 5 362,880 12,000 362,880 12,000 362,880 12,000 Total PE 374,880 374,880 374,880 Overtime - - - Allowances Call Out Acting Allowance Telephone Allowance Entertainment Allowance Responsibility Allowance Housing Allowance On Call Allowance Uniform Allowance Allowance Other Travel Allowance Total Allowances 3,000 1,681 2,900 1,681 2,900 1,681 16,800 14,400 16,800 14,400 16,800 14,400 6,000 41,881 6,000 41,781 6,000 41,781 Gratuity 22,597 - - Contributions Pension Social Security Medical Total Contributions 6,372 18,696 27,558 52,626 6,368 17,596 27,558 51,522 6,367 17,596 27,558 51,521 Board Fees Total Staff Costs 491,984 468,183 468,182

HEALTH AUTHORITY OF ANGUILLA ESTIMATES OF RECURRENT EXPENDITURE 301 NURSING - HOSPITAL YR1 2020 YR2 BUD 2021 YR3 BUD 2022 YoY Growth 2020 DESCRIPTION 2018 2019 PERSONAL EMOLUMENTS Personal Emoluments Wages Contributing Pensions Social Security Employers contribution ex Gratia Award Allowances Board & Committee Fees Insurance Benefit Staff 3,657 3,556 4,352 4,352 4,352 -22% 0% -26% -22% 0% -14% 0% -29% 0 0 0 0 0 79 169 83 168 105 205 97 202 97 202 0 0 0 0 0 253 235 267 267 267 0 0 0 0 0 253 286 367 353 353 0 TOTAL PERSONAL EMOLUMENT COSTS 4,411 4,328 5,296 5,271 5,271 -22% GOODS AND SERVICES Local Travel & Subsistence International Travel & Subsistence Utilities Communication Expenses Supplies Materials Medical Supplies Subscription, periodicals and Books Maintenance of Buildings Maintenance Services Operating Costs Rental of Assets Rental of Heavy Equipment & Machinery Professional & Consultancy Fees Insurance Medical Protection Society Hosting and Entertainment Training Advertising National Programmes TOTAL GOODS AND SERVICES 0 0 0 8 0 0 7 0 8 0 0 7 0 8 0 0 7 0% 50% 0% 100% -2% -1448% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% -491% 17 0 6 7 6 0 0 0 0 0 0 0 0 0 0 0 0 0 36 16 0 2 7 14 0 0 0 0 0 0 0 0 0 0 0 0 0 39 210 210 210 0 0 0 0 0 0 0 0 0 1 0 0 2 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 11 237 11 237 228 TRANSFERS AND SUBSIDIES Retiring Benefits - Gratuities Grants and Contributions Medical Treatment Overseas TOTAL TRANSFERS AND SUBSIDIES 113 86 0 0 86 134 72 0 0 72 134 -56% 0% 0% -56% 0 0 0 0 0 0 113 134 134 OTHER EXPENSES Refunds Claims Against Health Authority Sundry Expenses Contingencies TOTAL OTHER EXPENSES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% 0% 0% DEBT Debt Servicing - Domestic Debt Servicing - international TOTAL DEBT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% TOTAL RECURRENT EXPENDITURE 4,561 4,453 5,657 5,580 5,642 -27%

HEALTH AUTHORITY OF ANGUILLA ESTABLISHMENT (2020) NURSING HOSPITAL 301 HEADCOUNT COST 2019 2020 2021 2022 2020 2021 2022 BSN/Registered Nurse Director Nursing Services Housekeeper Housekeeping Supervisor Infection Control & Surveillance Officer Laundress Nurse Anesthesist Nurses Aide Orderly Registered Nurse Registered Nurse/Midwife Registered Nursing Assistant Senior Accident & Emergency Nurse Senior Orderly Supernumery Ward Manager 1 1 9 1 1 2 1 4 6 1 1 9 1 1 2 1 4 6 1 1 9 1 1 2 1 4 6 67,992 138,876 420,396 62,268 97,860 92,112 83,292 172,140 279,120 1,219,272 788,520 156,720 76,116 67,996 138,876 420,396 62,268 97,860 92,112 83,292 172,140 279,120 1,219,272 788,524 156,720 67,996 138,876 420,396 62,268 97,860 92,112 83,292 172,140 279,120 1,219,272 788,524 156,720 1 9 1 1 2 1 4 6 18 10 3 1 1 3 3 18 11 3 1 1 4 3 18 11 3 1 1 4 3 18 11 3 1 1 4 3 76,116 68832 106643 290628 76,116 68832 106643 290628 68832 106656 290628 Total Permanent Staff Temporary Staff 64 67 67 67 4,120,800 49,010 4,120,795 4,120,795 49,010 49,010 Total PE 4,169,810 4,169,805 4,169,805 Overtime 80,000 80,000 80,000 Allowances Call Out Acting Allowance Telephone Allowance Entertainment Allowance Responsibility Allowance Housing Allowance On Call Allowance Uniform Allowance Allowance Other Travel Allowance Total Allowances 48,125 14,115 48,125 14,115 48,125 14,115 121,600 22,500 48,300 121,600 22,500 48,300 121,600 22,500 48,300 12,000 266,640 12,000 266,640 12,000 266,640 Gratuity 133,654 72,137 133,654 Contributions Pension Social Security Medical Total Contributions 104,501 204,941 367,440 676,882 96,876 202,481 352,742 652,099 96,874 202,481 352,742 652,097 Board Fees Total Staff Costs 5,326,986 5,240,681 5,302,196

HEALTH AUTHORITY OF ANGUILLA ESTIMATES OF RECURRENT EXPENDITURE 302 COMMUNITY NURSING YR1 2020 YR2 BUD 2021 YR3 BUD 2022 YoY Growth 2020 DESCRIPTION 2018 2019 PERSONAL EMOLUMENTS Personal Emoluments Wages Contributing Pensions Social Security Employers contribution ex Gratia Award Allowances Board & Committee Fees Insurance Benefit Staff 1,972 2,316 2,100 2,045 2,045 9% 0% 11% -4% 0% -7% 0% -7% 0 0 0 0 0 78 92 0 72 0 161 65 96 0 65 0 191 58 100 58 100 58 100 0 0 0 70 0 204 68 0 187 68 0 187 0 TOTAL PERSONAL EMOLUMENT COSTS 2,374 2,733 2,532 2,459 2,459 7% GOODS AND SERVICES Local Travel & Subsistence International Travel & Subsistence Utilities Communication Expenses Supplies Materials Medical Supplies Subscription, periodicals and Books Maintenance of Buildings Maintenance Services Operating Costs Rental of Assets Rental of Heavy Equipment & Machinery Professional & Consultancy Fees Insurance Medical Protection Society Hosting and Entertainment Training Advertising National Programmes TOTAL GOODS AND SERVICES 0 0 0 0 0 0 0 0 0 0 0% 0% -2% -912% -58% 6% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% -15% 157 14 167 170 18 170 18 170 18 2 6 3 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 9 3 0 0 0 0 0 0 0 0 0 0 0 0 5 9 3 0 0 0 0 0 0 0 0 0 0 0 0 5 9 3 0 0 0 0 0 0 0 0 0 0 0 0 5 175 178 205 205 205 TRANSFERS AND SUBSIDIES Retiring Benefits - Gratuities Grants and Contributions Medical Treatment Overseas TOTAL TRANSFERS AND SUBSIDIES 0 0 0 0 12 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 100% 0% 0% 100% OTHER EXPENSES Refunds Claims Against Health Authority Sundry Expenses Contingencies TOTAL OTHER EXPENSES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% 0% 0% DEBT Debt Servicing - Domestic Debt Servicing - international TOTAL DEBT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% TOTAL RECURRENT EXPENDITURE 2,549 2,924 2,737 2,663 2,663 6%

HEALTH AUTHORITY OF ANGUILLA ESTABLISHMENT (2020) COMMUNITY NURSING 302 HEADCOUNT COST 2019 2020 2021 2022 2020 2021 2022 Cleaner (Dental Unit & Valley Clinic) Clinic Aide Community Health Aide Community Mental Health Nurse Community Nurse I Community Nurse II Coordinator Community Nursing Coordinator Mental Health Health Distarict Manager Mental Health Nurse Part time Cleaner Psychiatric Health Aide Security Guard/Orderly Supernumerary 1 4 6 1 1 4 1 1 3 3 4 3 3 1 3 6 1 2 5 1 1 3 3 5 3 4 1 1 3 6 1 2 5 1 1 3 3 5 3 4 1 1 3 6 1 2 5 1 1 3 3 5 3 4 1 33,072 119,856 323,388 60,396 139,764 323,586 99,672 96,876 264,792 220,047 28,430 143,004 158448 21716.4 33,072 119,856 323,388 60,396 139,764 323,588 99,672 96,876 264,792 220,048 28,435 143,004 158448 21715.2 33,072 119,856 323,388 60,396 139,764 323,588 99,672 96,876 264,792 220,048 28,435 143,004 158448 21715.2 Total Permanent Staff Temporary Staff 35 39 39 39 2,033,048 12,323 2,033,054 2,033,054 12,323 12,323 Total PE 2,045,371 2,045,378 2,045,378 Overtime - - - Allowances Call Out Acting Allowance Telephone Allowance Entertainment Allowance Responsibility Allowance Housing Allowance On Call Allowance Uniform Allowance Allowance Other Travel Allowance Total Allowances 1,867 - - 3,600 24,500 3,600 24,500 3,600 24,500 39,600 69,567 39,600 67,700 39,600 67,700 Gratuity - - - Contributions Pension Social Security Medical Total Contributions 58,200 100,116 204,205 362,521 58,196 100,108 187,394 345,698 58,197 100,108 187,394 345,699 Board Fees Total Staff Costs 2,477,459 2,458,776 2,458,777

HEALTH AUTHORITY OF ANGUILLA ESTIMATES OF RECURRENT EXPENDITURE 303 MGSCH YR1 2020 YR2 BUD 2021 YR3 BUD 2022 YoY Growth 2020 DESCRIPTION 2018 2019 PERSONAL EMOLUMENTS Personal Emoluments Wages Contributing Pensions Social Security Employers contribution ex Gratia Award Allowances Board & Committee Fees Insurance Benefit Staff 797 798 841 788 788 -5% 0% 1% 4% 0% 36% 0% -3% 0 0 0 0 0 23 38 0 15 0 75 23 40 0 17 0 80 23 39 0 11 0 83 0 996 23 39 0 11 0 83 23 39 0 11 0 83 TOTAL PERSONAL EMOLUMENT COSTS 948 958 942 942 -4% GOODS AND SERVICES Local Travel & Subsistence International Travel & Subsistence Utilities Communication Expenses Supplies Materials Medical Supplies Subscription, periodicals and Books Maintenance of Buildings Maintenance Services Operating Costs Rental of Assets Rental of Heavy Equipment & Machinery Professional & Consultancy Fees Insurance Medical Protection Society Hosting and Entertainment Training Advertising National Programmes TOTAL GOODS AND SERVICES 0 0 0 0 0 0 0 0 0 0 0% 0% 12% 0% 0% 1% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 1% 74 6 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81 40 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 45 35 0 4 5 0 0 0 0 0 0 0 0 0 1 0 0 0 44 35 0 3 5 0 0 0 0 0 0 0 0 0 1 0 0 0 44 35 0 3 5 0 0 0 0 0 0 0 0 0 1 0 0 0 44 TRANSFERS AND SUBSIDIES Retiring Benefits - Gratuities Grants and Contributions Medical Treatment Overseas TOTAL TRANSFERS AND SUBSIDIES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% 0% OTHER EXPENSES Refunds Claims Against Health Authority Sundry Expenses Contingencies TOTAL OTHER EXPENSES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% 0% 0% DEBT Debt Servicing - Domestic Debt Servicing - international TOTAL DEBT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% TOTAL RECURRENT EXPENDITURE 1,030 1,003 1,040 986 986 -4%

HEALTH AUTHORITY OF ANGUILLA ESTABLISHMENT (2020) MGSCH 303 HEADCOUNT COST 2019 13 2020 13 2021 13 2022 13 2020 2021 2022 Care Assistant Nurse in Charge Team Leader 599,736 96,876 57,444 599,736 96,876 57,444 599,736 96,876 57,444 1 1 1 1 1 1 1 1 - - - Total Permanent Staff Temporary Staff 15 15 15 15 754,056 33,600 754,056 33,600 754,056 33,600 Total PE 787,656 787,656 787,656 Overtime - - - Allowances Call Out Acting Allowance Telephone Allowance Entertainment Allowance Responsibility Allowance Housing Allowance On Call Allowance Uniform Allowance Allowance Other Travel Allowance Total Allowances - - - 10,600 10,600 10,600 10,600 10,600 10,600 Gratuity - - - Contributions Pension Social Security Medical Total Contributions 22,620 38,892 82,674 144,186 22,620 38,740 82,674 144,034 22,622 38,739 82,674 144,035 Board Fees Total Staff Costs 942,442 942,290 942,291

HEALTH AUTHORITY OF ANGUILLA ESTIMATES OF RECURRENT EXPENDITURE 401 OPERATIONS - FACILITIES YR1 2020 YR2 BUD 2021 YR3 BUD 2022 YoY Growth 2020 DESCRIPTION 2018 2019 PERSONAL EMOLUMENTS Personal Emoluments Wages Contributing Pensions Social Security Employers contribution ex Gratia Award Allowances Board & Committee Fees Insurance Benefit Staff 1,955 1,356 793 786 786 41% 0% 59% 50% 0% 47% 0% 60% 0 0 0 0 0 50 91 0 63 0 154 41 72 0 56 0 137 17 35 0 29 0 55 0 930 17 35 0 30 0 55 17 35 0 30 0 55 TOTAL PERSONAL EMOLUMENT COSTS 2,312 1,662 923 923 44% GOODS AND SERVICES Local Travel & Subsistence International Travel & Subsistence Utilities Communication Expenses Supplies Materials Medical Supplies Subscription, periodicals and Books Maintenance of Buildings Maintenance Services Operating Costs Rental of Assets Rental of Heavy Equipment & Machinery Professional & Consultancy Fees Insurance Medical Protection Society Hosting and Entertainment Training Advertising National Programmes TOTAL GOODS AND SERVICES 0 0 0 0 0 0 0 0 0 0 0% 0% 5% -5% 6% 100% 0% 79% 38% -186% 47% 0% 100% -4% 0% 0% 0% 0% 0% 30% 864 415 262 258 1,152 209 252 420 1,090 219 237 1,090 219 237 1,090 219 237 0 0 0 0 0 0 0 0 221 429 33 40 282 414 24 61 60 259 70 32 60 259 70 32 60 259 70 32 0 0 7 0 0 0 0 0 0 3 0 0 0 0 0 0 17 0 0 0 0 0 18 0 0 0 0 0 15 0 0 0 0 0 15 0 0 0 0 0 2,529 2,834 1,985 1,982 1,982 TRANSFERS AND SUBSIDIES Retiring Benefits - Gratuities Grants and Contributions Medical Treatment Overseas TOTAL TRANSFERS AND SUBSIDIES 28 0 0 28 0 0 0 0 28 0 0 28 0 0 0 0 28 0 0 28 0% 0% 0% 0% OTHER EXPENSES Refunds Claims Against Health Authority Sundry Expenses Contingencies TOTAL OTHER EXPENSES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% 0% 0% DEBT Debt Servicing - Domestic Debt Servicing - international TOTAL DEBT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% TOTAL RECURRENT EXPENDITURE 4,869 4,496 2,943 2,906 2,933 35%

HEALTH AUTHORITY OF ANGUILLA ESTABLISHMENT (2020) FACILITIES 401 HEADCOUNT COST 2019 2020 2021 2022 2020 2021 2022 Biomedical Technician Director of Facilities Handy Man Maintenance Officer Preventative Maintenance Officer Security Guard System Administrator 1 1 1 2 1 3 1 1 1 1 2 1 3 1 1 1 1 2 1 3 1 1 1 1 2 1 3 1 92,112 138,876 37,668 119,712 57,444 130,128 77,664 92,112 138,876 37,668 119,712 57,444 130,128 77,664 92,112 138,876 37,668 119,712 57,444 130,128 77,664 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Total Permanent Staff Temporary Staff 10 10 10 10 653,604 117,688 653,604 117,688 653,604 117,688 Total PE 771,292 771,292 771,292 Overtime 15,000 15,000 15,000 Allowances Call Out Acting Allowance Telephone Allowance Entertainment Allowance Responsibility Allowance Housing Allowance On Call Allowance Uniform Allowance Allowance Other Travel Allowance Total Allowances - - - 4,548 4,548 4,548 9600 - 4,875 9600 - 4,875 9600 - 4,875 10,500 29,523 10,500 29,523 10,500 29,523 Gratuity 27,673 - 27,673 Contributions Pension Social Security Medical Total Contributions 16,848 35,416 55,116 107,380 16,844 35,416 55,116 107,376 16,845 35,415 55,116 107,376 Board Fees Total Staff Costs 950,869 923,191 950,865

HEALTH AUTHORITY OF ANGUILLA ESTIMATES OF RECURRENT EXPENDITURE 402 NUTRITION & HEALTH YR1 2020 YR2 BUD 2021 YR3 BUD 2022 YoY Growth 2020 DESCRIPTION 2018 2019 PERSONAL EMOLUMENTS Personal Emoluments Wages Contributing Pensions Social Security Employers contribution ex Gratia Award Allowances Board & Committee Fees Insurance Benefit Staff 637 634 731 731 731 -15% 0% -18% -19% 0% -83% 0% -11% 0 0 0 0 0 17 30 0 13 0 50 18 29 0 14 0 55 21 35 0 26 0 62 0 874 21 35 0 26 0 62 21 35 0 26 0 62 TOTAL PERSONAL EMOLUMENT COSTS 747 750 874 874 -16% GOODS AND SERVICES Local Travel & Subsistence International Travel & Subsistence Utilities Communication Expenses Supplies Materials Medical Supplies Subscription, periodicals and Books Maintenance of Buildings Maintenance Services Operating Costs Rental of Assets Rental of Heavy Equipment & Machinery Professional & Consultancy Fees Insurance Medical Protection Society Hosting and Entertainment Training Advertising National Programmes TOTAL GOODS AND SERVICES 0 0 0 2 0 0 0 5 0 0 0 5 0 0 0 5 0 0 0 5 0% 0% 0% -6% 4% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 22% 4% 306 305 293 293 293 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 2 19 329 15 315 15 315 15 315 310 TRANSFERS AND SUBSIDIES Retiring Benefits - Gratuities Grants and Contributions Medical Treatment Overseas TOTAL TRANSFERS AND SUBSIDIES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% 0% OTHER EXPENSES Refunds Claims Against Health Authority Sundry Expenses Contingencies TOTAL OTHER EXPENSES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% 0% 0% DEBT Debt Servicing - Domestic Debt Servicing - international TOTAL DEBT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% TOTAL RECURRENT EXPENDITURE 1,057 1,080 1,189 1,188 1,188 -10%

HEALTH AUTHORITY OF ANGUILLA ESTABLISHMENT (2020) NUTRITION & HEALTH PROMOTION 402 HEADCOUNT COST 2019 2020 2021 2022 2020 2021 2022 Cook Coordinator Health Promotion & Nutrition Dietitic Technician Food Service Worker Graphic/Audio/Visual Technician Health Educator Receptionist Senior Health Educator 3 1 1 2 1 1 1 1 3 1 1 3 1 1 1 1 3 1 1 3 1 1 1 1 3 1 1 3 1 1 1 1 145,848 100,668 71,664 121,176 57,444 70,236 36,192 93,048 145,848 100,668 71,664 121,176 57,444 70,236 36,192 93,048 145,848 100,668 71,664 121,176 57,444 70,236 36,192 93,048 Total Permanent Staff Temporary Staff 11 12 12 12 696,276 20,581 696,276 20,581 696,276 20,581 Total PE 716,857 716,857 716,857 Overtime - - - Allowances Call Out Acting Allowance Telephone Allowance Entertainment Allowance Responsibility Allowance Housing Allowance On Call Allowance Uniform Allowance Allowance Other Travel Allowance Total Allowances 3048 3048 3048 9600 9600 9600 4,850 4,850 4,850 8,100 25,598 8,100 25,598 8,100 25,598 Gratuity - - - Contributions Pension Social Security Medical Total Contributions 20,888 34,557 61,530 116,975 20,888 34,557 61,530 116,975 20,888 34,557 61,530 116,975 Board Fees Total Staff Costs 859,430 859,430 859,430