Defense Health Program Fiscal Year (FY) 2007 Budget Estimates Operation and Maintenance Exhibit OP-5, Facilities Sustainment, Restoration and Modernization (Attachment 4) I. Description of Operations Financed: Base Operations (BASOPS)/Communications refers to the resources dedicated to the operation and maintenance of Defense Health Program (DHP) facilities. The DHP's BASOPS provides for facilities and services at military medical activities supporting active duty combat forces, reserve and guard components, training, eligible beneficiaries. Facility Restoration and Modernization - Resources required for facilities Restoration and Modernization. Restoration includes repair and replacement work to restore facilities damaged by lack of sustainment, excessive age, natural disaster, fire, accident, or other causes. Modernization includes alteration of facilities solely to implement new or higher standards (including regulatory changes), to accommodate new functions, or to replace building components that typically last more than 50 years (such as foundations and structural members). Facility Sustainment - Resources required for maintenance and repair activities necessary to keep facilities in good working order. It includes regularly scheduled adjustments and inspections, preventive maintenance tasks, emergency response and service calls for minor repairs. Sustainment also includes major repairs or replacement of facility components (usually accomplished by contract) that are expected to occur periodically throughout the life cycle of facilities. This work includes regular roof replacement, refinishing of wall surfaces, repairing and replacement of heating and cooling systems, replacing tile and carpeting, etc. II. Force Structure Summary: Inpatient Facilities Medical Clinics Dental Clinics Veterinary Clinics FY 2005 Actual 70 409 417 259 FY 2006 Estimate 70 409 417 259 FY 2007 Estimate 70 409 417 259 FY 2008 Estimate 70 409 417 259 Exhibit OP-5, Facilities Sustainment, Restoration and Modernization (Attachment 4) (Page 1 of 5) Defense Health Program Fiscal Year (FY) 2007 Budget Estimates Operation and Maintenance Exhibit OP-5, Facilities Sustainment, Restoration and Modernization (Attachment 4) III. A. Financial Summary ($ in Thousands): ($ in Thousands) Sub-Activity Group FY 2006 1. 2. 3. 4. Facility Facility Facility Facility Total Restoration/Modernization - CONUS Restoration/Modernization - OCONUS Sustainment - CONUS Sustainment - OCONUS B. Reconciliation Summary: Baseline Funding Congressional Adjustments (Distributed) Congressional Adjustments (Undistributed) Adjustments to Meet Congressional Intent Congressional Adjustments (General Provisions) Subtotal Appropriated Amount Fact-of-Life Changes Subtotal Baseline Funding Anticipated Supplemental Reprogrammings Price Change Functional Transfers Program Changes Current Estimate FY 2005 Actual 186,782 207,025 270,770 18,771 683,348 Budget Request 132,086 51,480 274,707 49,152 507,425 Change FY 2006/2006 507,425 -4,903 0 0 0 502,522 -17,200 485,322 51,070 0 n/a n/a n/a 536,392 Appropriation 130,928 50,966 271,968 48,660 502,522 Current Estimate 165,598 50,966 271,168 48,660 536,392 Change FY 2006/2007 536,392 n/a n/a n/a n/a 536,392 n/a 536,392 0 n/a 9,709 0 -19,947 526,154 FY 2007 Estimate 157,478 26,739 290,736 51,201 526,154 FY 2008 Estimate 174,779 26,739 291,941 51,201 544,660 Change FY 2007/2008 526,154 n/a n/a n/a n/a 526,154 n/a 526,154 0 n/a 8,682 0 9,824 544,660 Exhibit OP-5, Facilities Sustainment, Restoration and Modernization (Attachment 4) (Page 2 of 5) Defense Health Program Fiscal Year (FY) 2007 Budget Estimates Operation and Maintenance Exhibit OP-5, Facilities Sustainment, Restoration and Modernization (Attachment 4) ($ in Thousands) C. Amount Reconciliation of Increases and Decreases: Totals 507,425 FY 2006 President's Budget Request -4,903 1. Congressional Adjustments a. Distributed Adjustments 1) 1% Congressional Reduction b. Undistributed Adjustments c. Adjustment to Meet Congressional Intent d. General Provisions -4,903 -4,903 0 0 0 502,522 FY 2006 Appropriated Amount 2. War-Related and Disaster Supplemental Appropriations 0 3. Fact-of-Life Changes a. Functional Transfers 1) Transfers In 2) Transfers Out b. Technical Adjustments 1) Increases 2) Decreases a) Realigns funding from Facilities Restoration/Sustainment program element to Base Operations program element for proper budget execution. c. Emergent Requirements 1) Program Increases a) One-Time Costs b) Program Growth 2) Program Reductions a) One-Time Costs b) Program Decreases -17,200 0 0 0 -17,200 -17,200 0 0 0 0 0 0 485,322 Baseline Funding 4. Reprogrammings (Requiring 1415 Actions) a. Increases b. Decreases 0 0 0 Revised FY 2006 Estimate 5. Less: Item 2, War-Related and Disaster Supplemental Appropriations, and Item 4, Reprogrammings 485,322 0 Normalizes Current Estimate for FY 2006 485,322 Exhibit OP-5, Facilities Sustainment, Restoration and Modernization (Attachment 4) (Page 3 of 5) Defense Health Program Fiscal Year (FY) 2007 Budget Estimates Operation and Maintenance Exhibit OP-5, Facilities Sustainment, Restoration and Modernization (Attachment 4) ($ in Thousands) C. Amount Reconciliation of Increases and Decreases: Totals 6. Price Change 9,709 7. Functional Transfers a. Transfers In b. Transfers Out 0 0 0 8. Program Growth a. Annualization of New FY 2006 Program b. One-Time FY 2007 Costs 1) Reverse 1% Congressional Reduction c. Program Growth in FY 2007 1) Realigns funding from In-House Care to Base Operations/Communications for partial restoral to Sustainment Restoration and Modernization (SRM) due to increased Resource Sharing shortfall in FY 2007. 2) Realigns funding from In-House Care to Base Operations to meet DoD mandated facilities sustainment goals for Military Treatment Facilities. 3) Reflects funding from Other Procurement goals for military health facilities. to meet DoD mandated facilities sustainment 31,124 0 4,992 4,992 26,132 1,919 10,108 1,633 4) Realigns funding to other budget activity groups to reflect prior year execution. 3,294 5) Realigns funding from In-House Care reduced requirements to Base Operating Support civilian pay shortfall compared to FY 2006. 8,362 6) Reflects Foreign Currency Fluctuation. 9. Program Decreases a. One-Time FY 2007 Costs b. Annualization of New FY 2006 Decreases c. Program Decreases in FY 2007 FY 2007 Budget Request 816 0 0 0 0 526,154 Exhibit OP-5, Facilities Sustainment, Restoration and Modernization (Attachment 4) (Page 4 of 5) Defense Health Program Fiscal Year (FY) 2007 Budget Estimates Operation and Maintenance Exhibit OP-5, Facilities Sustainment, Restoration and Modernization (Attachment 4) IV. Performance Criteria and Evaluation Summary: FY 2005 Budgeted Funding Levels Sustainment Restoration and Modernization Actual FY 2006 Budgeted Estimate FY2007 Estimate FY2008 Estimate 313,943 178,626 289,541 393,807 323,859 183,566 319,828 216,564 341,937 184,217 343,142 201,518 0 0 0 0 0 0 93.0% 94.7% 92.2% 91.0% 95.4% 95.8% FY 2005 FY 2006 FY 2007 FY 2008 5 5 11 10 11 9 11 9 0 -1 0 0 Total Military 10 21 20 20 -1 0 Civilian End Strength (Total) US Direct Hire Foreign National Direct Hire Total Direct Hire Foreign National Indirect Hire Total Civilians 444 0 444 4 448 300 13 313 11 324 301 13 314 11 325 301 13 314 11 325 1 0 1 0 1 0 0 0 0 0 (Reimbursable Included Above - memo) 0 0 0 0 0 0 Active Military Average Strength (A/S) Officer Enlisted 1 1 8 8 11 8 11 10 5 5 3 2 1 6 16 21 10 5 443 0 443 4 447 300 13 313 13 326 302 13 315 11 326 302 13 315 11 326 2 0 2 -2 0 0 0 0 0 0 0 0 0 0 0 0 34,246 76.613 24,128 74.012 24,740 75.890 $75.890 Demolition Total Department Sustainment Rate* *MILPERS not included V. Personnel Summary: Active Military End Strength (E/S) Officer Enlisted Total Military Civilian FTEs (Total) US Direct Hire Foreign National Direct Hire Total Direct Hire Foreign National Indirect Hire Total Civilians (Reimbursable Included Above - memo) Annual Civilian Workyear Cost ($000's) Average Civilian Salary ($000's) Change FY 2006/2007 Change FY 2007/2008 VII. OP 32 Line Items as Applicable (Dollars in Thousands): See OP-32 information included on the OP-5 Base Operations/Communications Exhibit. Exhibit OP-5, Facilities Sustainment, Restoration and Modernization (Attachment 4) (Page 5 of 5)